Provider Demographics
NPI:1740847292
Name:KATHRYN KEMMERLING LMFT LLC
Entity type:Organization
Organization Name:KATHRYN KEMMERLING LMFT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KEMMERLING
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:630-803-7957
Mailing Address - Street 1:2416 RIVERWALK DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-8076
Mailing Address - Country:US
Mailing Address - Phone:630-803-7957
Mailing Address - Fax:
Practice Address - Street 1:123 W WASHINGTON ST STE 218
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8232
Practice Address - Country:US
Practice Address - Phone:815-507-2886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)