Provider Demographics
NPI:1942171426
Name:TRUST & TRANSFORM COUNSELING, PLLC
Entity type:Organization
Organization Name:TRUST & TRANSFORM COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:224-652-9085
Mailing Address - Street 1:532 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:IL
Mailing Address - Zip Code:60002-1424
Mailing Address - Country:US
Mailing Address - Phone:224-652-9085
Mailing Address - Fax:
Practice Address - Street 1:532 LAKE ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:IL
Practice Address - Zip Code:60002-1424
Practice Address - Country:US
Practice Address - Phone:224-652-9085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty