Provider Demographics
NPI:1821877507
Name:CMP COUNSELING, PLLC
Entity Type:Organization
Organization Name:CMP COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PALUBICKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:708-212-0285
Mailing Address - Street 1:11261 S DRAKE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-3545
Mailing Address - Country:US
Mailing Address - Phone:708-212-0285
Mailing Address - Fax:
Practice Address - Street 1:3450 W MAPLE ST FL 2
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-3043
Practice Address - Country:US
Practice Address - Phone:312-415-9014
Practice Address - Fax:708-694-9507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)