Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Center for Grief and Traumatic Loss, LLC

Organization Clinical Psychologist · NPI 1366655813

Center for Grief and Traumatic Loss, LLC provides Clinical Psychologist services in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1144 Harms Ave
Libertyville, IL 60048-2524
Phone: (847) 680-0279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X (IL)

Record details

NPI number1366655813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allan Botkin — Director · (847) 680-0279
NPI enumeratedMay 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1144 Harms Ave, Libertyville, IL 60048-2524

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