| Alert Counseling & Therapy Pllc | |
|
1010 Lake St Ste 200 Oak Park IL 60301-1132 | |
| (708) 665-4951 | |
| Not Available |
| Full Name | Alert Counseling & Therapy Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1010 Lake St Ste 200, Oak Park, Illinois |
| Authorized Official Name and Position | Constantine J Trela (OWNER) |
| Authorized Official Contact | 7086654951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alert Counseling & Therapy Pllc 419 N Taylor Ave Oak Park IL 60302-2419 Ph: (708) 665-4951 | Alert Counseling & Therapy Pllc 1010 Lake St Ste 200 Oak Park IL 60301-1132 Ph: (708) 665-4951 |
| NPI Number | 1538814595 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 9133515323 |
|---|---|
| Medicare Enrollment ID | O20220418000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538814595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Constantine Trela |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700467180 PECOS PAC ID: 4183020316 Enrollment ID: I20210913003119 |
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