H14 Limited Liability Company | |
6825 167th St Tinley Park IL 60477-2501 | |
(708) 465-0150 | |
Not Available |
Full Name | H14 Limited Liability Company |
---|---|
Speciality | Counselor - Mental Health |
Location | 6825 167th St, Tinley Park, Illinois |
Authorized Official Name and Position | Malachi Kelly (OWNER) |
Authorized Official Contact | 7084650150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
H14 Limited Liability Company 2045 W Grand Ave Ste B Chicago IL 60612-1577 Ph: () - | H14 Limited Liability Company 6825 167th St Tinley Park IL 60477-2501 Ph: (708) 465-0150 |
NPI Number | 1417725276 |
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Provider Enumeration Date | 12/12/2023 |
Last Update Date | 12/12/2023 |
Certification Date | 12/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417725276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
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