Mrs Susan Ruth Schwendener, LPC, AMFT | |
1881 N Poe St Apt B, Chicago, IL 60614-4932 | |
(773) 750-7890 | |
Not Available |
Full Name | Mrs Susan Ruth Schwendener |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1881 N Poe St Apt B, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841724887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.012191 (Illinois) | Secondary |
106H00000X | Marriage & Family Therapist | 208.000508 (Illinois) | Primary |
Entity Name | Flourish Counseling Centers Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023644721 PECOS PAC ID: 4981049160 Enrollment ID: O20240227003507 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Ruth Schwendener, LPC, AMFT 1881 N Poe St Apt B, Chicago, IL 60614-4932 Ph: (773) 750-7890 | Mrs Susan Ruth Schwendener, LPC, AMFT 1881 N Poe St Apt B, Chicago, IL 60614-4932 Ph: (773) 750-7890 |
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