| Embodying Dialectics Center | |
|
2501 Chatham Rd Ste N Springfield IL 62704-4188 | |
| (941) 993-3207 | |
| Not Available |
| Full Name | Embodying Dialectics Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2501 Chatham Rd Ste N, Springfield, Illinois |
| Authorized Official Name and Position | Cassandra Mcellen (COUNSELOR) |
| Authorized Official Contact | 9419933207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodying Dialectics Center 2501 Chatham Rd Ste N Springfield IL 62704-4188 Ph: (941) 993-3207 | Embodying Dialectics Center 2501 Chatham Rd Ste N Springfield IL 62704-4188 Ph: (941) 993-3207 |
| NPI Number | 1427815513 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427815513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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