Healthcare Provider Details

I. General information

NPI: 1548947153
Provider Name (Legal Business Name): HOPEFUL HUMANS COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 07/21/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

772 LISSON GRV
NEW LENOX IL
60451-9563
US

IV. Provider business mailing address

20015 S LAGRANGE RD # 1173
FRANKFORT IL
60423-3104
US

V. Phone/Fax

Practice location:
  • Phone: 847-208-5194
  • Fax:
Mailing address:
  • Phone: 708-320-8039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ELIZABETH KRIKS
Title or Position: OWNER
Credential: MSW, LCSW
Phone: 847-208-5194