| Green Door Therapy Llc | |
|
126 N York St Ste 2 Elmhurst IL 60126-2888 | |
| (163) 038-4956 | |
| Not Available |
| Full Name | Green Door Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 126 N York St Ste 2, Elmhurst, Illinois |
| Authorized Official Name and Position | Brooke Madera (CLINICAL THERAPIST/ SUPERVISOR) |
| Authorized Official Contact | 6303849560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Door Therapy Llc Po Box 7109 Villa Park IL 60181-7109 Ph: () - | Green Door Therapy Llc 126 N York St Ste 2 Elmhurst IL 60126-2888 Ph: (163) 038-4956 |
| NPI Number | 1982195301 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982195301 | NPI | - | NPPES |
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