Provider Demographics
NPI:1801348354
Name:KH COUNSELING
Entity type:Organization
Organization Name:KH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPIETER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LCSW
Authorized Official - Phone:618-277-7570
Mailing Address - Street 1:5 EXECUTIVE WOODS CT
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-2170
Mailing Address - Country:US
Mailing Address - Phone:618-277-7570
Mailing Address - Fax:
Practice Address - Street 1:5 EXECUTIVE WOODS CT
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-2170
Practice Address - Country:US
Practice Address - Phone:618-277-7570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490155091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty