| Grove Counseling Services Pllc | |
|
1021 Washington Blvd Apt 202 Oak Park IL 60302-3750 | |
| (616) 994-2627 | |
| Not Available |
| Full Name | Grove Counseling Services Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1021 Washington Blvd Apt 202, Oak Park, Illinois |
| Authorized Official Name and Position | Lindsey Lemmen (OWNER) |
| Authorized Official Contact | 6169942627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grove Counseling Services Pllc Lindsey Lemmen, Lcsw 1021 Washington Blvd Apt 202 Oak Park IL 60302-3750 Ph: (616) 994-2627 | Grove Counseling Services Pllc 1021 Washington Blvd Apt 202 Oak Park IL 60302-3750 Ph: (616) 994-2627 |
| NPI Number | 1972373223 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 10/25/2023 |
| Medicare PECOS PAC ID | 3375084833 |
|---|---|
| Medicare Enrollment ID | O20240924002518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972373223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lindsey Lemmen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720542806 PECOS PAC ID: 7517207640 Enrollment ID: I20190327001049 |
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