Provider Demographics
NPI:1851951974
Name:KIDS FIRST COLLABORATIVE, PLLC
Entity Type:Organization
Organization Name:KIDS FIRST COLLABORATIVE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COUNSELOR, SCHOOL PSYCH
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:MELTON
Authorized Official - Last Name:LECHNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-534-3179
Mailing Address - Street 1:319 S NAPERVILLE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5462
Mailing Address - Country:US
Mailing Address - Phone:630-534-3179
Mailing Address - Fax:
Practice Address - Street 1:319 S NAPERVILLE RD STE 203
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5462
Practice Address - Country:US
Practice Address - Phone:630-534-3179
Practice Address - Fax:630-534-2164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty