MEDICARE: HINDS & O'BRIEN COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor
2	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1841067741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HINDS & O'BRIEN COUNSELING

Provider Business Mailing Address
First Line	:	2265 W 113TH PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-4104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2265 W 113TH PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-4104
Country	:	US
Telephone Number	:	504-460-8965
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	TARA HINDS
Credential	:	LCPC, MA
Telephone Number	:	504-460-8965

Provider Enumeration Date	:	12/11/2023
Last Update Date	:	01/06/2026

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