Provider Demographics
NPI:1144894049
Name:DEVELOPING CONNECTIONS COUNSELING
Entity type:Organization
Organization Name:DEVELOPING CONNECTIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:GEAN
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:708-374-3264
Mailing Address - Street 1:22431 TYLER DR
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-1846
Mailing Address - Country:US
Mailing Address - Phone:708-374-3264
Mailing Address - Fax:
Practice Address - Street 1:22431 TYLER DR
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-1846
Practice Address - Country:US
Practice Address - Phone:708-374-3264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEVELOPING CONNECTIONS COUNSELING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-14
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)