| H14 Limited Liability Company | |
|
6825 167th St Tinley Park IL 60477-2501 | |
| (708) 465-0150 | |
| Not Available |
| Full Name | H14 Limited Liability Company |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6825 167th St, Tinley Park, Illinois |
| Authorized Official Name and Position | Malachi Kelly (OWNER) |
| Authorized Official Contact | 7084650150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H14 Limited Liability Company 2045 W Grand Ave Ste B Chicago IL 60612-1577 Ph: () - | H14 Limited Liability Company 6825 167th St Tinley Park IL 60477-2501 Ph: (708) 465-0150 |
| NPI Number | 1417725276 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417725276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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