| Blending Families, Inc. | |
|
800 Main Street Antioch IL 60002 | |
| (847) 838-9904 | |
| (847) 838-9907 |
| Full Name | Blending Families, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 800 Main Street, Antioch, Illinois |
| Authorized Official Name and Position | Janel Giernoth (BUSINESS MANAGER) |
| Authorized Official Contact | 8478389904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blending Families, Inc. 800 Main Street Antioch IL 60002 Ph: (847) 838-9904 | Blending Families, Inc. 800 Main Street Antioch IL 60002 Ph: (847) 838-9904 |
| NPI Number | 1265626865 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 08/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265626865 | NPI | - | NPPES |
| 1063519510 | Other | IL | LCPC |
| 1457579625 | Other | IL | LCPC |
| 1023020815 | Other | IL | LCPC |
| 1902927791 | Other | IL | LCPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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