Healthcare Provider Details

I. General information

NPI: 1841067741
Provider Name (Legal Business Name): HINDS & O'BRIEN COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2265 W 113TH PL
CHICAGO IL
60643-4104
US

IV. Provider business mailing address

2265 W 113TH PL
CHICAGO IL
60643-4104
US

V. Phone/Fax

Practice location:
  • Phone: 504-460-8965
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: TARA HINDS
Title or Position: CO-OWNER
Credential: LCPC, MA
Phone: 504-460-8965