KRIS MAYNARD LCSW LTD NPI 1174163463

NPI Information

  • NPI: 1174163463
  • Provider Name: KRIS MAYNARD LCSW LTD
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: STILLPATH THERAPY AND ASSOCIATES
  • Address: 1030 S LA GRANGE RD STE 9
    LA GRANGE, IL
    ZIP 60525
  • Phone: (708) 921-3639

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NPI Details

KRIS MAYNARD LCSW LTD is a mental health (including community mental health center) clinic center in La Grange, IL. KRIS MAYNARD LCSW LTD NPI is 1174163463. The provider is registered as an organization entity type.
The provider Is Doing Business As Stillpath Therapy And Associates.

The provider's business location address is:

1030 S LA GRANGE RD STE 9
LA GRANGE, IL
ZIP 60525-893
Phone: (708) 921-3639
Fax: (708) 588-1501

The provider's authorized official is Kristine Maynard .
The authorized official title is President and has the following contact phone number (708) 921-3639.

The enumeration date for this NPI number is 1/14/2020 and was last updated on 7/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

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This page was last updated on: 11/21/2025

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