| Canopy Counseling Center Pllc | |
|
822 Hillgrove Ave Ste 2 Western Springs IL 60558-1474 | |
| (872) 254-3804 | |
| Not Available |
| Full Name | Canopy Counseling Center Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 822 Hillgrove Ave Ste 2, Western Springs, Illinois |
| Authorized Official Name and Position | Cecilia Yasmine Rivera (OWNER) |
| Authorized Official Contact | 8155571584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canopy Counseling Center Pllc 5844 W 55th St Chicago IL 60638-2718 Ph: (815) 557-1584 | Canopy Counseling Center Pllc 822 Hillgrove Ave Ste 2 Western Springs IL 60558-1474 Ph: (872) 254-3804 |
| NPI Number | 1174302731 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174302731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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