Provider Demographics
NPI:1154780948
Name:LINDA KYLE RIMKUS
Entity type:Organization
Organization Name:LINDA KYLE RIMKUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KYLE RIMKUS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:815-262-0146
Mailing Address - Street 1:9570 PERRETT LN
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:IL
Mailing Address - Zip Code:61008-7058
Mailing Address - Country:US
Mailing Address - Phone:815-262-0146
Mailing Address - Fax:815-544-3392
Practice Address - Street 1:9570 PERRETT LN
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:IL
Practice Address - Zip Code:61008-7058
Practice Address - Country:US
Practice Address - Phone:815-262-0146
Practice Address - Fax:815-544-3392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.085221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty