Provider Demographics
NPI:1215113063
Name:THE OAKS COUNSELING CENTER, INC.
Entity type:Organization
Organization Name:THE OAKS COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEBOLD
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-329-6709
Mailing Address - Street 1:PO BOX 1234
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60078-1234
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:236 W NORTHWEST HWY
Practice Address - Street 2:SUITE 204
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3195
Practice Address - Country:US
Practice Address - Phone:630-329-6709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1245414465OtherNPI