OrganizationActive
Affiliates in Counseling LLC
NPI 1003868472 · Clinical Psychologist · Northbrook, IL
Provider details
- NPI number
- 1003868472
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Morton Mirman, Partner
Practice location
633 Skokie Blvd
260
Northbrook, IL 60062-2858
Phone: (847) 480-0300
Fax: (847) 291-0576
Mailing address
910 Skokie Blvd
Northbrook, IL 60062-4013
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2011-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.