Provider Demographics
NPI:1336336726
Name:NEIGHBORHOOD COUNSELING ASSOCIATES NFP
Entity Type:Organization
Organization Name:NEIGHBORHOOD COUNSELING ASSOCIATES NFP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/ THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:HAMLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LCSW
Authorized Official - Phone:630-844-3001
Mailing Address - Street 1:155 BOULDER HILL PASS
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538-2305
Mailing Address - Country:US
Mailing Address - Phone:630-844-3001
Mailing Address - Fax:630-552-1052
Practice Address - Street 1:155 BOULDER HILL PASS
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:IL
Practice Address - Zip Code:60538-2305
Practice Address - Country:US
Practice Address - Phone:630-844-3001
Practice Address - Fax:630-552-1052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149000424251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health