Provider Demographics
NPI: | 1679913883 |
---|---|
Name: | KEE COUNSELING LLC |
Entity type: | Organization |
Organization Name: | KEE COUNSELING LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KAREN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | KEE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 630-247-7932 |
Mailing Address - Street 1: | 2100 MANCHESTER RD |
Mailing Address - Street 2: | SUITE 400-B |
Mailing Address - City: | WHEATON |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60187-4579 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 630-247-7932 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2100 MANCHESTER RD |
Practice Address - Street 2: | SUITE 400-B |
Practice Address - City: | WHEATON |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60187-4579 |
Practice Address - Country: | US |
Practice Address - Phone: | 630-247-7932 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-07-02 |
Last Update Date: | 2017-04-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
IL | 180.007721 | 101YP2500X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Single Specialty |