Healthcare Provider Details

I. General information

NPI: 1023742301
Provider Name (Legal Business Name): BRIA SARAH KATES TLMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2022
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 W WACKER DR STE 120
CHICAGO IL
60606-1377
US

IV. Provider business mailing address

211 W WACKER DR STE 120
CHICAGO IL
60606-1377
US

V. Phone/Fax

Practice location:
  • Phone: 708-529-5091
  • Fax:
Mailing address:
  • Phone: 708-529-5091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number113203
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: