| Hinds & O'brien Counseling | |
|
2265 W 113th Pl Chicago IL 60643-4104 | |
| (504) 460-8965 | |
| Not Available |
| Full Name | Hinds & O'brien Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 2265 W 113th Pl, Chicago, Illinois |
| Authorized Official Name and Position | Tara Hinds (CO-OWNER) |
| Authorized Official Contact | 5044608965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hinds & O'brien Counseling 2265 W 113th Pl Chicago IL 60643-4104 Ph: () - | Hinds & O'brien Counseling 2265 W 113th Pl Chicago IL 60643-4104 Ph: (504) 460-8965 |
| NPI Number | 1841067741 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Medicare PECOS PAC ID | 4688115132 |
|---|---|
| Medicare Enrollment ID | O20240924002352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841067741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Timothy J O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801449681 PECOS PAC ID: 3779812508 Enrollment ID: I20190904001963 |
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