| Experience Counseling Llc | |
|
100 Batson Ct Ste 206 New Lenox IL 60451-1565 | |
| (312) 622-6962 | |
| Not Available |
| Full Name | Experience Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 100 Batson Ct Ste 206, New Lenox, Illinois |
| Authorized Official Name and Position | Ausra Tauginaite (OWNER) |
| Authorized Official Contact | 3126226962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Experience Counseling Llc 1530 Aztec Cir Naperville IL 60563-1206 Ph: (312) 622-6962 | Experience Counseling Llc 100 Batson Ct Ste 206 New Lenox IL 60451-1565 Ph: (312) 622-6962 |
| NPI Number | 1447874771 |
|---|---|
| Provider Enumeration Date | 06/02/2020 |
| Last Update Date | 06/02/2020 |
| Certification Date | 06/02/2020 |
| Medicare PECOS PAC ID | 2264975564 |
|---|---|
| Medicare Enrollment ID | O20240614001628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447874771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ausra Tauginaite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871954040 PECOS PAC ID: 4082157383 Enrollment ID: I20240614001940 |
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