Provider Demographics
NPI:1841521515
Name:AFFECTIVE RESOLUTIONS
Entity type:Organization
Organization Name:AFFECTIVE RESOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMEE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MS LPC
Authorized Official - Phone:630-204-1101
Mailing Address - Street 1:PO BOX 2031
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538-8031
Mailing Address - Country:US
Mailing Address - Phone:630-204-1101
Mailing Address - Fax:
Practice Address - Street 1:44 MONROE ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-7144
Practice Address - Country:US
Practice Address - Phone:630-204-1101
Practice Address - Fax:630-554-5451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178006366101YM0800X, 101YP2500X
IL1490111021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty