| Enlightening Journey Clinical Therapy Services, Inc. | |
|
7443 Washington St Forest Park IL 60130-1549 | |
| (331) 244-0956 | |
| Not Available |
| Full Name | Enlightening Journey Clinical Therapy Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7443 Washington St, Forest Park, Illinois |
| Authorized Official Name and Position | Maria Cruz (OWNER) |
| Authorized Official Contact | 3312440956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlightening Journey Clinical Therapy Services, Inc. 154 W. Park Avenue #212 Elmhurst IL 60126-6312 Ph: (331) 244-0956 | Enlightening Journey Clinical Therapy Services, Inc. 7443 Washington St Forest Park IL 60130-1549 Ph: (331) 244-0956 |
| NPI Number | 1245974716 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245974716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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