Provider Demographics
NPI:1295036549
Name:KLIMAITE, ASTA (LCPC)
Entity Type:Individual
Prefix:
First Name:ASTA
Middle Name:
Last Name:KLIMAITE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 E NERGE RD STE W40
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-4809
Mailing Address - Country:US
Mailing Address - Phone:708-695-4808
Mailing Address - Fax:
Practice Address - Street 1:975 E NERGE RD STE W40
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-4809
Practice Address - Country:US
Practice Address - Phone:708-695-4808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health