| Elements Of Wellness Counseling, Llc | |
|
2147 Allegre Cir Apt 304 Naperville IL 60563-2686 | |
| (312) 741-4008 | |
| Not Available |
| Full Name | Elements Of Wellness Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2147 Allegre Cir Apt 304, Naperville, Illinois |
| Authorized Official Name and Position | Jevon Marie Johnson (OWNER) |
| Authorized Official Contact | 3127414008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elements Of Wellness Counseling, Llc 2147 Allegre Cir Apt 304 Naperville IL 60563-2686 Ph: (312) 741-4008 | Elements Of Wellness Counseling, Llc 2147 Allegre Cir Apt 304 Naperville IL 60563-2686 Ph: (312) 741-4008 |
| NPI Number | 1700531407 |
|---|---|
| Provider Enumeration Date | 02/21/2022 |
| Last Update Date | 02/21/2022 |
| Certification Date | 02/21/2022 |
| Medicare PECOS PAC ID | 9133592686 |
|---|---|
| Medicare Enrollment ID | O20230302002082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700531407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jevon Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144574021 PECOS PAC ID: 1456771542 Enrollment ID: I20201010000025 |
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