Healthcare Provider Details

I. General information

NPI: 1770379182
Provider Name (Legal Business Name): REFUGE MENTAL HEALTH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E 9TH ST STE 1B
LOCKPORT IL
60441-3691
US

IV. Provider business mailing address

123 E 9TH ST STE 2C
LOCKPORT IL
60441-3452
US

V. Phone/Fax

Practice location:
  • Phone: 815-318-2010
  • Fax: 815-550-6400
Mailing address:
  • Phone: 815-318-2010
  • Fax: 815-550-6400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KARYN LYNN HORAN
Title or Position: OWNER
Credential: LCPC
Phone: 708-715-6922