| Epiphany Life Coach Counseling & Resources, Llc | |
|
15539 Dobson Ave Dolton IL 60419-2708 | |
| (773) 654-3875 | |
| Not Available |
| Full Name | Epiphany Life Coach Counseling & Resources, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15539 Dobson Ave, Dolton, Illinois |
| Authorized Official Name and Position | Phyllis Ferguson-collum (COUNSELOR) |
| Authorized Official Contact | 7736543875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Life Coach Counseling & Resources, Llc 15539 Dobson Ave Dolton IL 60419-2708 Ph: (773) 654-3875 | Epiphany Life Coach Counseling & Resources, Llc 15539 Dobson Ave Dolton IL 60419-2708 Ph: (773) 654-3875 |
| NPI Number | 1952711806 |
|---|---|
| Provider Enumeration Date | 04/30/2014 |
| Last Update Date | 04/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952711806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149015907 (Illinois) | Primary |
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