Provider Demographics
NPI:1053599290
Name:KATHLEEN A. GEISER
Entity type:Organization
Organization Name:KATHLEEN A. GEISER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KATE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GEISER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:847-772-5486
Mailing Address - Street 1:2300 BARRINGTON RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2082
Mailing Address - Country:US
Mailing Address - Phone:847-772-5486
Mailing Address - Fax:
Practice Address - Street 1:2300 BARRINGTON RD
Practice Address - Street 2:SUITE 400
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2082
Practice Address - Country:US
Practice Address - Phone:847-772-5486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-003199101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty