Provider Demographics
NPI:1942614730
Name:HITE, DEVAN MARK (LCPC)
Entity Type:Individual
Prefix:MR
First Name:DEVAN
Middle Name:MARK
Last Name:HITE
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 608484
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-8363
Mailing Address - Country:US
Mailing Address - Phone:773-368-2173
Mailing Address - Fax:760-340-0760
Practice Address - Street 1:8 S MICHIGAN AVE STE 618
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603
Practice Address - Country:US
Practice Address - Phone:312-263-3024
Practice Address - Fax:312-577-0042
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-19
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7990125101YP2500X
IL180010833101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional