Provider Demographics
NPI:1447002613
Name:GWYN ZMOLEK CLINICAL COUNSELING, PLLC
Entity type:Organization
Organization Name:GWYN ZMOLEK CLINICAL COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GWYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZMOLEK
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC,NCC
Authorized Official - Phone:630-476-1944
Mailing Address - Street 1:547 ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60177-2863
Mailing Address - Country:US
Mailing Address - Phone:630-476-1944
Mailing Address - Fax:855-975-2405
Practice Address - Street 1:547 ARBOR LN
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-2863
Practice Address - Country:US
Practice Address - Phone:630-476-1944
Practice Address - Fax:855-975-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty