Provider Demographics
NPI:1598992430
Name:SAFE HARBOR COUNSELING
Entity Type:Organization
Organization Name:SAFE HARBOR COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:PLACHETKA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-272-4959
Mailing Address - Street 1:612 MARIE AVE
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-1211
Mailing Address - Country:US
Mailing Address - Phone:630-272-4959
Mailing Address - Fax:
Practice Address - Street 1:76 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:60554-5023
Practice Address - Country:US
Practice Address - Phone:630-272-4959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0089761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty