Provider Demographics
NPI:1871043364
Name:PADILLA COUNSELING, LTD.
Entity Type:Organization
Organization Name:PADILLA COUNSELING, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:V
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:708-435-9224
Mailing Address - Street 1:125 WINDSOR DR
Mailing Address - Street 2:113
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1536
Mailing Address - Country:US
Mailing Address - Phone:708-435-9224
Mailing Address - Fax:
Practice Address - Street 1:125 WINDSOR DR
Practice Address - Street 2:113
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1536
Practice Address - Country:US
Practice Address - Phone:708-435-9224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008321101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty