Provider Demographics
NPI:1619333127
Name:BUCKHOUT CONSULTING COMPANY
Entity Type:Organization
Organization Name:BUCKHOUT CONSULTING COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MRS
Authorized Official - Prefix:
Authorized Official - First Name:GALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCKHOUT
Authorized Official - Suffix:
Authorized Official - Credentials:LCLC
Authorized Official - Phone:773-592-4069
Mailing Address - Street 1:707 E THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-4921
Mailing Address - Country:US
Mailing Address - Phone:773-592-4069
Mailing Address - Fax:
Practice Address - Street 1:707 E THOMAS ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4921
Practice Address - Country:US
Practice Address - Phone:773-592-4069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180007298101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty