Healthcare Provider Details
I. General information
NPI: 1336736560
Provider Name (Legal Business Name): ASK US COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/22/2020
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29W170 BUTTERFIELD RD
WARRENVILLE IL
60555-2809
US
IV. Provider business mailing address
9241 S IL ROUTE 31
LAKE IN THE HILLS IL
60156-1607
US
V. Phone/Fax
- Phone: 847-854-4333
- Fax: 847-854-4334
- Phone: 847-854-4333
- Fax: 847-854-4334
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELLE
M
KASPER
Title or Position: PRACTICE MANAGER
Credential:
Phone: 478-854-4333