Organization Name: | CONSULTING PROFESSIONALS INC |
NPI Number: | 1104926625 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICAH K SWANSEY (EXECUTIVE DIRECTOR) |
Mailing Address: | 593 Burnham Ave Calumet City |
State: | IL US |
Postal Code: | 604094031 |
Phone Number: | 7088321002 |
Fax Number: | 7088321099 |
NPI Enumeration Date: | 09/24/2006 |
NPI Last Update Date: | 10/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071006944 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |