Provider Demographics
NPI:1164168969
Name:HAWK-TORCH COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:HAWK-TORCH COUNSELING SERVICES, LLC
Other - Org Name:COZETTE ROPER, LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COZETTE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ROPER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-915-3588
Mailing Address - Street 1:1130 S CANAL ST # 1411
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4907
Mailing Address - Country:US
Mailing Address - Phone:773-915-3588
Mailing Address - Fax:
Practice Address - Street 1:1130 S CANAL ST # 1411
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-4907
Practice Address - Country:US
Practice Address - Phone:773-915-3588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty