Provider Demographics
NPI:1083236806
Name:KOKORO COUNSELING, LLC.
Entity Type:Organization
Organization Name:KOKORO COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLCMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-708-0197
Mailing Address - Street 1:2176 N STATE ROUTE 178
Mailing Address - Street 2:
Mailing Address - City:TONICA
Mailing Address - State:IL
Mailing Address - Zip Code:61370-9778
Mailing Address - Country:US
Mailing Address - Phone:815-326-1186
Mailing Address - Fax:
Practice Address - Street 1:807 LA SALLE ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:IL
Practice Address - Zip Code:61350-2073
Practice Address - Country:US
Practice Address - Phone:630-708-0197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty