Provider Demographics
NPI:1265191589
Name:CLEARINGS COUNSELING CENTER INC
Entity type:Organization
Organization Name:CLEARINGS COUNSELING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GREYSON-BOST
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:815-270-0168
Mailing Address - Street 1:11361 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROSCOE
Mailing Address - State:IL
Mailing Address - Zip Code:61073-8851
Mailing Address - Country:US
Mailing Address - Phone:815-270-0168
Mailing Address - Fax:
Practice Address - Street 1:11361 MAIN ST
Practice Address - Street 2:
Practice Address - City:ROSCOE
Practice Address - State:IL
Practice Address - Zip Code:61073-8851
Practice Address - Country:US
Practice Address - Phone:815-270-0168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty