Healthcare Provider Details

I. General information

NPI: 1528563640
Provider Name (Legal Business Name): HOPKINS SOLUTIONS & STRATEGIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 03/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10117 S MORGAN ST
CHICAGO IL
60643-2222
US

IV. Provider business mailing address

10117 S MORGAN ST
CHICAGO IL
60643-2222
US

V. Phone/Fax

Practice location:
  • Phone: 773-655-4544
  • Fax:
Mailing address:
  • Phone: 773-655-4544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180005424
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 7
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number180004524
License Number StateIL

VIII. Authorized Official

Name: LISA N HOPKINS
Title or Position: PRESIDENT
Credential: MA, LCPC
Phone: 773-655-4544