| Coacherapy Llc | |
|
650 Warrenville Rd Ste 100 Lisle IL 60532-4315 | |
| (313) 290-0315 | |
| Not Available |
| Full Name | Coacherapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 650 Warrenville Rd Ste 100, Lisle, Illinois |
| Authorized Official Name and Position | Nadia Natasha Walker (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3312900315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coacherapy Llc 650 Warrenville Rd Ste 100 Lisle IL 60532-4315 Ph: (313) 290-0315 | Coacherapy Llc 650 Warrenville Rd Ste 100 Lisle IL 60532-4315 Ph: (313) 290-0315 |
| NPI Number | 1831820448 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831820448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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