Organization
ALLEN'S FAMILY COUNSELING CENTER, INC.
Active
Parent organization
ALLEN'S FAMILY COUNSELING CENTER, INC.
Other names
Allen's Family Counseling Center, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLEN'S FAMILY COUNSELING CENTER, INC.
Authorized official
DOUGLAS L ALLEN MS,QMHP, CADC, CODP1 (CEO)
(708) 728-5470
Entity
Organization
Contact information
Practice address
16700 SOUTH HALSTED ST, HARVEY, IL 60426-6065
(312) 912-7008
(312) 533-2842
Mailing address
226 W ONTARIO ST STE 400C, CHICAGO, IL 60654-3619
(312) 912-7008
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7512-0001
—
IL
Enumeration date
01/17/2023
Last updated
01/17/2023
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