Centered Counseling Services Pllc | |
522 W Burlington Ave # 2w La Grange IL 60525-2200 | |
(872) 888-9798 | |
Not Available |
Full Name | Centered Counseling Services Pllc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 522 W Burlington Ave # 2w, La Grange, Illinois |
Authorized Official Name and Position | Stephen Brad Carter (CEO) |
Authorized Official Contact | 8728889798 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centered Counseling Services Pllc Po Box 872 La Grange IL 60525-0872 Ph: (872) 888-9798 | Centered Counseling Services Pllc 522 W Burlington Ave # 2w La Grange IL 60525-2200 Ph: (872) 888-9798 |
NPI Number | 1336896604 |
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Provider Enumeration Date | 03/07/2022 |
Last Update Date | 03/07/2022 |
Certification Date | 03/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336896604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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