Provider Demographics
NPI:1396362471
Name:CATHERINE CHINNOCK ATR-BC LMHC
Entity Type:Organization
Organization Name:CATHERINE CHINNOCK ATR-BC LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CHINNOCK
Authorized Official - Suffix:
Authorized Official - Credentials:ATR-BC, LCPC, LMHC
Authorized Official - Phone:312-505-0052
Mailing Address - Street 1:2 HINCKLEY PL APT 6H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3350
Mailing Address - Country:US
Mailing Address - Phone:312-505-0052
Mailing Address - Fax:
Practice Address - Street 1:32 COURT ST STE 1901
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4421
Practice Address - Country:US
Practice Address - Phone:312-505-0052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty