Provider Demographics
NPI:1942189964
Name:HERSTRENGTH05/15
Entity type:Organization
Organization Name:HERSTRENGTH05/15
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCPC
Authorized Official - Prefix:
Authorized Official - First Name:BRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPHA
Authorized Official - Phone:224-802-1919
Mailing Address - Street 1:107 THOMAS CT
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-2475
Mailing Address - Country:US
Mailing Address - Phone:224-802-1919
Mailing Address - Fax:
Practice Address - Street 1:107 THOMAS CT
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2475
Practice Address - Country:US
Practice Address - Phone:224-802-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HERSTRENGTH05/15, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)