Organization · Type 2 NPI
The Soma Collective
Counselor · Villa Park, IL
NPI number
1609763770
Active
Practice location
119 N 3rd Ave
Villa Park, IL 60181-2320
Fax (847) 226-6179
Mailing address
543 S Michigan Ave
Villa Park, IL 60181-2816
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 1609763770
The Soma Collective's National Provider Identifier is 1609763770, issued on Jun 21, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Villa Park, IL. The record was last updated on Jul 15, 2025.