| Bluebird Counseling And Psychotherapy | |
|
5026 Whittier Ln Rockford IL 61114-5410 | |
| (779) 537-2243 | |
| Not Available |
| Full Name | Bluebird Counseling And Psychotherapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5026 Whittier Ln, Rockford, Illinois |
| Authorized Official Name and Position | Nicholas Moallem (THERAPIST AND REGISTRAR AGENT) |
| Authorized Official Contact | 7795372243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebird Counseling And Psychotherapy 5026 Whittier Ln Rockford IL 61114-5410 Ph: (779) 537-2243 | Bluebird Counseling And Psychotherapy 5026 Whittier Ln Rockford IL 61114-5410 Ph: (779) 537-2243 |
| NPI Number | 1669240156 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669240156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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