Briggs Therapy Group, Llc | |
2 W Talcott Rd Ste 26 Park Ridge IL 60068-5559 | |
(847) 858-7277 | |
(855) 787-3065 |
Full Name | Briggs Therapy Group, Llc |
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Speciality | Counselor |
Location | 2 W Talcott Rd Ste 26, Park Ridge, Illinois |
Authorized Official Name and Position | David E. Briggs (OWNER/THERAPIST) |
Authorized Official Contact | 8478587277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Briggs Therapy Group, Llc 2 W Talcott Rd Ste 26 Park Ridge IL 60068-5559 Ph: (847) 858-7277 | Briggs Therapy Group, Llc 2 W Talcott Rd Ste 26 Park Ridge IL 60068-5559 Ph: (847) 858-7277 |
NPI Number | 1912411893 |
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Provider Enumeration Date | 11/29/2017 |
Last Update Date | 09/07/2021 |
Certification Date | 09/07/2021 |
Medicare PECOS PAC ID | 2365853793 |
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Medicare Enrollment ID | O20201116001895 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912411893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180.008841 (Illinois) | Primary |
1041C0700X | Social Worker - Clinical | 149.020545 (Illinois) | Secondary |
Provider Name | Jennifer F. Briggs |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659885531 PECOS PAC ID: 8426469859 Enrollment ID: I20201116002105 |
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