Provider Demographics
NPI:1568009264
Name:PK CONSULTANTS, LLC
Entity Type:Organization
Organization Name:PK CONSULTANTS, LLC
Other - Org Name:PK CONSULTANTS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO,NASW,MTC,MSW,CCM
Authorized Official - Phone:219-337-9826
Mailing Address - Street 1:760 E 92ND AVE
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-8123
Mailing Address - Country:US
Mailing Address - Phone:219-337-9826
Mailing Address - Fax:
Practice Address - Street 1:760 E 92ND AVE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-8123
Practice Address - Country:US
Practice Address - Phone:219-337-9826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-02
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty