| Forevermore Healthcare | |
|
1260 W Jefferson St Ste 100 Joliet IL 60435-6869 | |
| (815) 766-5999 | |
| Not Available |
| Full Name | Forevermore Healthcare |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1260 W Jefferson St Ste 100, Joliet, Illinois |
| Authorized Official Name and Position | Demitrius Brackett (MENTAL HEALTH PROVIDER) |
| Authorized Official Contact | 8157665999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forevermore Healthcare 411 N Bluff St Apt 11 Joliet IL 60435-7295 Ph: (815) 766-5999 | Forevermore Healthcare 1260 W Jefferson St Ste 100 Joliet IL 60435-6869 Ph: (815) 766-5999 |
| NPI Number | 1346025285 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 01/12/2024 |
| Certification Date | 12/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346025285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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