| Empowered Neurodiversity | |
|
2735 Hassert Blvd Suite 135 Pmb 2175 Naperville IL 60564 | |
| (630) 765-5740 | |
| Not Available |
| Full Name | Empowered Neurodiversity |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2735 Hassert Blvd Suite 135, Naperville, Illinois |
| Authorized Official Name and Position | Gloria J Sherrod (OWNER) |
| Authorized Official Contact | 6304561374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Neurodiversity 4220 Gardenview Dr Apt 209 Naperville IL 60564-7166 Ph: (630) 765-5740 | Empowered Neurodiversity 2735 Hassert Blvd Suite 135 Pmb 2175 Naperville IL 60564 Ph: (630) 765-5740 |
| NPI Number | 1790558153 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790558153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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