Organization Name: | PATRICK AMES COUNSELING, LLC |
NPI Number: | 1508274721 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICK KENT AMES (OWNER) |
Mailing Address: | 255 Quentin Rd Hawthorn Woods |
State: | IL US |
Postal Code: | 600471604 |
Phone Number: | 2246392607 |
Fax Number: | 8473078992 |
NPI Enumeration Date: | 07/31/2014 |
NPI Last Update Date: | 07/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |