Provider Demographics
NPI:1992241418
Name:OWENS & ASSOCIATES COUNSELING & THERAPY CENTER
Entity type:Organization
Organization Name:OWENS & ASSOCIATES COUNSELING & THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:DSC, LCPC
Authorized Official - Phone:847-854-4333
Mailing Address - Street 1:9241 S IL ROUTE 31
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-1607
Mailing Address - Country:US
Mailing Address - Phone:847-854-4333
Mailing Address - Fax:854-854-4334
Practice Address - Street 1:9241 S IL ROUTE 31
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-1607
Practice Address - Country:US
Practice Address - Phone:847-854-4333
Practice Address - Fax:854-854-4334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-07
Last Update Date:2017-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.1021421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty