Provider / Organization | NPI | Date Certified |
---|---|---|
CAROLYN K COMPANY | 1285224600 | 2023-08-18 |
Carolyn K Company is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1285224600. Registration indicates Carolyn K Company is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Mrs. Carolyn K Company MA, MSED |
Practice Office Address | 322 SUSAN DRIVE SUITE C-1 NORMAL, IL US |
Practice Office Telephone | 2174306020 |
Mailing Address | 2002 HEDGEWOOD DRIVE BLOOMINGTON, IL 617047742 US |
Business Telephone | 2174306020 |
Code | Practice | License No State |
---|---|---|
101YP2500X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 178.016665
IL |
101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 180.015447
IL |