Organization · Type 2 NPI

Gotham Lab Services LLC

Counselor · Matteson, IL

NPI number 1487596193 Active

Practice location

4018 Charleston Rd Apt 2N
Matteson, IL 60443-2674

Fax (888) 253-2417

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

About NPI 1487596193

Gotham Lab Services LLC's National Provider Identifier is 1487596193, issued on Apr 9, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Matteson, IL. The record was last updated on Apr 9, 2026.