=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780366039
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AK COUNSELING AND PSYCHOTHERAPY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2023
-----------------------------------------------------
Last Update Date | 02/17/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1701 E WOODFIELD RD STE 201
-----------------------------------------------------
City | SCHAUMBURG
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60173-5127
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 224-715-2907
-----------------------------------------------------
Fax | 847-631-3778
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 210 DES PLAINES LN
-----------------------------------------------------
City | HOFFMAN ESTATES
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60169-3308
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 224-715-2907
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/THERAPIST
-----------------------------------------------------
Name | MRS. ADRIANA KONAR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 224-715-2907
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------