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Bold Spark, Inc.

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Streamwood, IL

NPI 1043072218 · NPPES record last updated May 22, 2024

Key facts

NPI
1043072218
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
BOLD SPARK, INC.
Practice address
820 S Bartlett Rd Ste 106B
Streamwood, IL 60107-2407
Phone
(224) 318-7554
NPI assigned
Jan 24, 2024
Organization subpart
Yes
Parent organization (as reported)
BOLD SPARK, INC.

Authorized official

Name
Karen V. Liebold
Title
Owner
Phone
(630) 329-6709

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Karen Liebold, M.A., L.C.P.C. Professional Counselor · Streamwood, IL · NPI 1245414465
    NPD

National Provider Directory

Part of
Bold Spark Inc

Locations

820 S Bartlett Rd
Ste 106B
Streamwood, IL 60107
Phone (224) 318-7554

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

820 S Bartlett Rd Ste 106B
Streamwood, IL 60107-2407

Mailing address

218 Gingerbrook LN
Bartlett, IL 60103-4624
Phone (630) 329-6709

Other identifiers

IdentifierTypeStateIssuer
1245414465OtherNPI

Other names

  • The Oaks Counseling Center Doing business as

Other providers in Streamwood, IL

All providers in Streamwood, IL · Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

Sources for this page

Verify at the official NPI Registry.