Provider Demographics
NPI:1407161896
Name:CALHOUN CONSULTANTS LLC
Entity Type:Organization
Organization Name:CALHOUN CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD LCPC
Authorized Official - Phone:815-501-2888
Mailing Address - Street 1:900 HITT ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:IL
Mailing Address - Zip Code:61350-5109
Mailing Address - Country:US
Mailing Address - Phone:815-501-2888
Mailing Address - Fax:815-431-9889
Practice Address - Street 1:900 HITT ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:IL
Practice Address - Zip Code:61350-5109
Practice Address - Country:US
Practice Address - Phone:815-501-2888
Practice Address - Fax:815-431-9889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.004054103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty