| Integrative Holistic Counseling | |
|
27475 Ferry Road Suite 105 Warrenville IL 60555 | |
| (630) 699-7254 | |
| Not Available |
| Full Name | Integrative Holistic Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 27475 Ferry Road, Warrenville, Illinois |
| Authorized Official Name and Position | Tammy Beth Hildebrand (OWNER) |
| Authorized Official Contact | 6306997254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Holistic Counseling 27475 Ferry Road Suite 105 Warrenville IL 60555 Ph: (630) 699-7254 | Integrative Holistic Counseling 27475 Ferry Road Suite 105 Warrenville IL 60555 Ph: (630) 699-7254 |
| NPI Number | 1811056955 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 1759786890 |
|---|---|
| Medicare Enrollment ID | O20210827000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811056955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149009104 (Illinois) | Primary |
| Provider Name | Tammy Daniele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144389693 PECOS PAC ID: 2668877705 Enrollment ID: I20210827000059 |
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