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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.