Provider Demographics
NPI:1316617368
Name:KMH COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:KMH COUNSELING AND CONSULTING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-869-2081
Mailing Address - Street 1:821 N FRANCISCO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-4413
Mailing Address - Country:US
Mailing Address - Phone:312-209-9892
Mailing Address - Fax:
Practice Address - Street 1:200 S WACKER DR STE 600
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-5849
Practice Address - Country:US
Practice Address - Phone:312-869-2081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180.013372OtherMENTAL HEALTH COUNSELING
IL180014806OtherMENTAL HEALTH COUNSELING