Organization
H14 LIMITED LIABILITY COMPANY
Active
Other names
H14 Co.
Organization subpart
No
Provider details
NPI number
Authorized official
MALACHI KELLY LCPC (OWNER)
(708) 465-0150
Entity
Organization
Contact information
Practice address
6825 167TH ST, TINLEY PARK, IL 60477-2501
(708) 465-0150
Mailing address
2045 W GRAND AVE STE B, CHICAGO, IL 60612-1577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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