| Foundations Counseling, Llc | |
|
9730 S Western Ave Ste 215 Evergreen Park IL 60805 | |
| (773) 242-9726 | |
| Not Available |
| Full Name | Foundations Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9730 S Western Ave Ste 215, Evergreen Park, Illinois |
| Authorized Official Name and Position | Samantha Louise Allen (CEO/ MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 7085290122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Counseling, Llc 9730 S Western Ave Ste 215 Evergreen Park IL 60805-2871 Ph: () - | Foundations Counseling, Llc 9730 S Western Ave Ste 215 Evergreen Park IL 60805 Ph: (773) 242-9726 |
| NPI Number | 1124530456 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 07/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124530456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149019762 (Illinois) | Primary |
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