Provider Demographics
NPI:1093560633
Name:KATE KLARA, LCPC, LLC
Entity type:Organization
Organization Name:KATE KLARA, LCPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLARA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-484-6051
Mailing Address - Street 1:72 S LA GRANGE RD STE 9-63
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-2475
Mailing Address - Country:US
Mailing Address - Phone:708-341-6821
Mailing Address - Fax:
Practice Address - Street 1:72 S LA GRANGE RD STE 9-63
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-2475
Practice Address - Country:US
Practice Address - Phone:708-341-6821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty