Provider Demographics
NPI:1053902098
Name:HASHMI, ABIA (LCPC)
Entity type:Individual
Prefix:
First Name:ABIA
Middle Name:
Last Name:HASHMI
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N MICHIGAN AVE STE 515
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3830
Mailing Address - Country:US
Mailing Address - Phone:877-750-3566
Mailing Address - Fax:
Practice Address - Street 1:800 ROOSEVELT RD STE 220
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-5839
Practice Address - Country:US
Practice Address - Phone:630-239-1784
Practice Address - Fax:630-216-4818
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180012431101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health