Healthcare Provider Details
I. General information
NPI: 1427268812
Provider Name (Legal Business Name): COUNSELING MINISTRIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 N MICHIGAN AVE SUITE 906
CHICAGO IL
60602-3501
US
IV. Provider business mailing address
30 N MICHIGAN AVE SUITE 906
CHICAGO IL
60602-3501
US
V. Phone/Fax
- Phone: 773-274-5380
- Fax:
- Phone: 773-274-5380
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP1600X |
| Taxonomy | Pastoral Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WM.
DAVID
ARKSEY
Title or Position: PRESIDENT
Credential: D. MIN.
Phone: 773-274-5380