Provider Demographics
NPI:1205328713
Name:OAKHEART, CENTER FOR COUNSELING, MEDIATION, AND CONSULTATION, LLC
Entity type:Organization
Organization Name:OAKHEART, CENTER FOR COUNSELING, MEDIATION, AND CONSULTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-570-0050
Mailing Address - Street 1:66 MILLER DR STE 105
Mailing Address - Street 2:
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-5144
Mailing Address - Country:US
Mailing Address - Phone:630-570-0050
Mailing Address - Fax:
Practice Address - Street 1:240 EDWARD ST
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-2155
Practice Address - Country:US
Practice Address - Phone:630-570-0050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty