| Chosen To Serve Counseling Services, Llc | |
|
316 W 145th St Riverdale IL 60827-2711 | |
| (312) 857-3423 | |
| (708) 841-9568 |
| Full Name | Chosen To Serve Counseling Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 316 W 145th St, Riverdale, Illinois |
| Authorized Official Name and Position | Tyra D Oliver (CLINICAL SOCIAL WORKER/THERAPIST) |
| Authorized Official Contact | 7083072307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chosen To Serve Counseling Services, Llc 2501 Chatham Rd Ste R Springfield IL 62704-4188 Ph: (312) 857-3423 | Chosen To Serve Counseling Services, Llc 316 W 145th St Riverdale IL 60827-2711 Ph: (312) 857-3423 |
| NPI Number | 1447097266 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447097266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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