Provider Demographics
NPI:1952291973
Name:SUSAN CLOSE, LCPC, LMHC PSYCHOTHERAPY & WELLNESS, LLC
Entity type:Organization
Organization Name:SUSAN CLOSE, LCPC, LMHC PSYCHOTHERAPY & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:CLOSE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LMHC
Authorized Official - Phone:847-772-1047
Mailing Address - Street 1:300 S SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-3334
Mailing Address - Country:US
Mailing Address - Phone:847-772-1047
Mailing Address - Fax:
Practice Address - Street 1:200 E EVERGREEN AVE STE 103
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3240
Practice Address - Country:US
Practice Address - Phone:847-423-8151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional