Provider Demographics
NPI:1407609498
Name:RM COUNSELING PLLC
Entity Type:Organization
Organization Name:RM COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDEMA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:262-994-6404
Mailing Address - Street 1:840 LATHROP AVE
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60130-2039
Mailing Address - Country:US
Mailing Address - Phone:262-994-6404
Mailing Address - Fax:
Practice Address - Street 1:840 LATHROP AVE
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:IL
Practice Address - Zip Code:60130-2039
Practice Address - Country:US
Practice Address - Phone:262-994-6404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty