| Essential Lifestyle Therapy &consulting Llc | |
|
14132 S Michigan Ave Riverdale IL 60827-2232 | |
| (773) 885-2773 | |
| Not Available |
| Full Name | Essential Lifestyle Therapy &consulting Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14132 S Michigan Ave, Riverdale, Illinois |
| Authorized Official Name and Position | Danielle Brandy Webb (OWNER) |
| Authorized Official Contact | 3127678651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Lifestyle Therapy &consulting Llc 14132 S Michigan Ave Riverdale IL 60827-2232 Ph: (773) 885-2773 | Essential Lifestyle Therapy &consulting Llc 14132 S Michigan Ave Riverdale IL 60827-2232 Ph: (773) 885-2773 |
| NPI Number | 1417675778 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417675778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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