| 290 Therapy Llc | |
|
811 Greenbay Ave Calumet City IL 60409-4424 | |
| (309) 490-4853 | |
| Not Available |
| Full Name | 290 Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 811 Greenbay Ave, Calumet City, Illinois |
| Authorized Official Name and Position | Tyra Steverson (COUNSELOR) |
| Authorized Official Contact | 3094904853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 290 Therapy Llc 18141 Dixie Hwy Ste 202 Homewood IL 60430-2243 Ph: (309) 490-4853 | 290 Therapy Llc 811 Greenbay Ave Calumet City IL 60409-4424 Ph: (309) 490-4853 |
| NPI Number | 1710799796 |
|---|---|
| Provider Enumeration Date | 01/24/2025 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710799796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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