Provider Demographics
| NPI: | 1053184911 |
|---|---|
| Name: | EHP SEXOLOGICAL AND THERAPEUTIC SERVICES, PLLC |
| Entity type: | Organization |
| Organization Name: | EHP SEXOLOGICAL AND THERAPEUTIC SERVICES, PLLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO, MANAGER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | KAREN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | CAFFEE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | PHD, LMFT, MED, CST |
| Authorized Official - Phone: | 312-971-6846 |
| Mailing Address - Street 1: | 2735 HASSERT BLVD STE 135 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | NAPERVILLE |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60564-5205 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1567 TRAILS END LN |
| Practice Address - Street 2: | |
| Practice Address - City: | BOLINGBROOK |
| Practice Address - State: | IL |
| Practice Address - Zip Code: | 60490-3289 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 312-971-6846 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-11-02 |
| Last Update Date: | 2023-11-02 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Single Specialty |