| Foresight Mental Health Group Pllc | |
|
223 W Jackson Blvd Ste 360 Chicago IL 60606-6915 | |
| (888) 588-8995 | |
| (510) 756-0812 |
| Full Name | Foresight Mental Health Group Pllc |
|---|---|
| Speciality | Counselor |
| Location | 223 W Jackson Blvd Ste 360, Chicago, Illinois |
| Authorized Official Name and Position | Gwendolyn Mucino Martinez (SR CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8885888995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foresight Mental Health Group Pllc Po Box 530077 Atlanta GA 30353-0077 Ph: () - | Foresight Mental Health Group Pllc 223 W Jackson Blvd Ste 360 Chicago IL 60606-6915 Ph: (888) 588-8995 |
| NPI Number | 1114695889 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114695889 | NPI | - | NPPES |
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