| Amphora Counseling, Pllc | |
|
3205 N Wilke Rd Ste 102c Arlington Heights IL 60004-0004 | |
| (224) 349-2594 | |
| (224) 350-8500 |
| Full Name | Amphora Counseling, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3205 N Wilke Rd Ste 102c, Arlington Heights, Illinois |
| Authorized Official Name and Position | Stacey Griffith (PROFESSIONAL COUNSELOR/THERAPIST) |
| Authorized Official Contact | 2243492594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amphora Counseling, Pllc 3205 N Wilke Rd Ste 102c Arlington Heights IL 60004-0004 Ph: (224) 349-2594 | Amphora Counseling, Pllc 3205 N Wilke Rd Ste 102c Arlington Heights IL 60004-0004 Ph: (224) 349-2594 |
| NPI Number | 1003580663 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003580663 | NPI | - | NPPES |
| 1578069506 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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