| Impactful Therapy | |
|
8102 W 119th St Ste 1030 Palos Park IL 60464-3081 | |
| (773) 680-4011 | |
| Not Available |
| Full Name | Impactful Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8102 W 119th St Ste 1030, Palos Park, Illinois |
| Authorized Official Name and Position | Deana L Fisher (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 7736804011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impactful Therapy 7215 W 113th St Worth IL 60482-1709 Ph: (773) 680-4011 | Impactful Therapy 8102 W 119th St Ste 1030 Palos Park IL 60464-3081 Ph: (773) 680-4011 |
| NPI Number | 1073267381 |
|---|---|
| Provider Enumeration Date | 02/06/2022 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073267381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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