| Essentially You Counseling And Wellness Services, Llc | |
|
255 E Lake St Ste 200 Bloomingdale IL 60108-1287 | |
| (815) 295-5470 | |
| Not Available |
| Full Name | Essentially You Counseling And Wellness Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 255 E Lake St Ste 200, Bloomingdale, Illinois |
| Authorized Official Name and Position | Erin Redfern (PRESIDENT) |
| Authorized Official Contact | 8152955470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentially You Counseling And Wellness Services, Llc 255 E Lake St Ste 200 Bloomingdale IL 60108-1287 Ph: (815) 295-5470 | Essentially You Counseling And Wellness Services, Llc 255 E Lake St Ste 200 Bloomingdale IL 60108-1287 Ph: (815) 295-5470 |
| NPI Number | 1851802896 |
|---|---|
| Provider Enumeration Date | 10/17/2017 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Medicare PECOS PAC ID | 5294110516 |
|---|---|
| Medicare Enrollment ID | O20220922000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851802896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.010289 (Illinois) | Primary |
| Provider Name | Courtney Holbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578046579 PECOS PAC ID: 1658788138 Enrollment ID: I20210330000090 |
| Provider Name | Chelsea Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467047464 PECOS PAC ID: 9638554967 Enrollment ID: I20220922000438 |
| Provider Name | Sheryl M Solomon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932112471 PECOS PAC ID: 3072956028 Enrollment ID: I20240207001624 |
| Provider Name | Ana Fajardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184269029 PECOS PAC ID: 8123469723 Enrollment ID: I20240514002431 |
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