Provider Demographics
NPI:1093047318
Name:HOWARD COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:HOWARD COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AKILAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:630-679-1170
Mailing Address - Street 1:550 E BOUGHTON RD STE 225
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-2396
Mailing Address - Country:US
Mailing Address - Phone:630-679-1170
Mailing Address - Fax:630-679-1106
Practice Address - Street 1:550 E BOUGHTON RD STE 225
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-2396
Practice Address - Country:US
Practice Address - Phone:630-679-1170
Practice Address - Fax:630-679-1106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2B05-IPI-158Medicaid