Organization Name: | COVE COUNSELING PC |
NPI Number: | 1083785984 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY C BALL (PRESIDENT) |
Mailing Address: | 611 W Thornwood Drive South Elgin |
State: | IL US |
Postal Code: | 601773733 |
Phone Number: | 8477175430 |
Fax Number: | 8476954394 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |