Provider Demographics
NPI:1629853130
Name:ADB COUNSELING LLC
Entity Type:Organization
Organization Name:ADB COUNSELING LLC
Other - Org Name:ALEKS KICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEKS
Authorized Official - Middle Name:
Authorized Official - Last Name:KICO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:312-529-0913
Mailing Address - Street 1:955 HEARTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-2727
Mailing Address - Country:US
Mailing Address - Phone:312-529-0913
Mailing Address - Fax:847-320-0272
Practice Address - Street 1:1618 W COLONIAL PKWY STE 130
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:IL
Practice Address - Zip Code:60067-4725
Practice Address - Country:US
Practice Address - Phone:312-529-0913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)