RANDI COLEY CADC
NPI 1013283993
Counselor - Mental Health in Blue Island, IL
Active since March 26, 2012
About Randi Coley Cadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDI COLEY CADC (NPI 1013283993) is an individual mental health provider in Blue Island, Illinois and active in the NPI registry since March 2012.
NPPES Registry Identity
NPI1013283993
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRANDI COLEYCredential: CADC
Location Address12942 PAGE CTBlue Island, IL 60406-2747
Mailing Address12942 Page CtBlue Island, IL 60406-2747 · (708) 593-4412
Phone(708) 593-4412
Sole ProprietorNo
Enumeration DateMarch 26, 2012
Last NPPES UpdateJuly 10, 2012
✔ NPI 1013283993 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 27660 (IL)
12942 PAGE CT, Blue Island, IL 60406
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013283993, enumerated as an "individual" on March 26, 2012.
The provider is located at 12942 PAGE CT BLUE ISLAND, IL 60406 and the phone number is (708) 593-4412.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
