| Elements Therapy And Wellness, Llc | |
|
601 Shannon Dr Chesterton IN 46304-3158 | |
| (630) 408-7372 | |
| Not Available |
| Full Name | Elements Therapy And Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 601 Shannon Dr, Chesterton, Indiana |
| Authorized Official Name and Position | Samantha Whiting (OWNER) |
| Authorized Official Contact | 6304087372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elements Therapy And Wellness, Llc 601 Shannon Dr Chesterton IN 46304-3158 Ph: (630) 408-7372 | Elements Therapy And Wellness, Llc 601 Shannon Dr Chesterton IN 46304-3158 Ph: (630) 408-7372 |
| NPI Number | 1306411004 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 05/25/2021 |
| Certification Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306411004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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