| Eunoia Wellness Boutique | |
|
17901 Governors Hwy Ste 30 Homewood IL 60430-1145 | |
| (618) 319-5669 | |
| Not Available |
| Full Name | Eunoia Wellness Boutique |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17901 Governors Hwy Ste 30, Homewood, Illinois |
| Authorized Official Name and Position | Arielle Smith (CEO) |
| Authorized Official Contact | 2243260128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eunoia Wellness Boutique 17901 Governors Hwy Ste 30 Homewood IL 60430-1145 Ph: (618) 319-5669 | Eunoia Wellness Boutique 17901 Governors Hwy Ste 30 Homewood IL 60430-1145 Ph: (618) 319-5669 |
| NPI Number | 1700512159 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 07/28/2022 |
| Certification Date | 05/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700512159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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