BRIANA H GOHLKE


Address: 3350 S Kedzie Ave, Chicago, IL 60623-5114
Phone: 3125645246

BRIANA H GOHLKE (NPI# 1881131514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881131514
Entity Type Individual
Full Name BRIANA H GOHLKE
Practice Address 3350 S Kedzie Ave
Chicago
IL 60623-5114
Practice Telephone 3125645246
Mailing Telephone 3125645246
Enumeration Date 2017-01-19
Last Update Date 2017-01-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 178011614 IL Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
178011614 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 178011614 05

Office Location

Street Address 3350 S KEDZIE AVE
City CHICAGO
State IL
Zip Code 60623-5114

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60623

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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