Healthcare Provider Details

I. General information

NPI: 1275708794
Provider Name (Legal Business Name): LANIE REICHMAN KUHLMAN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1838 E BELVIDERE RD
GRAYSLAKE IL
60030-2289
US

IV. Provider business mailing address

226 LEXINGTON CT
GRAYSLAKE IL
60030-3701
US

V. Phone/Fax

Practice location:
  • Phone: 847-962-0756
  • Fax:
Mailing address:
  • Phone: 847-962-0756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.006232
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: