| Growing Grounded Therapies Pllc | |
|
222 E Wisconsin Ave Ste 300b Lake Forest IL 60045-1723 | |
| (847) 986-9319 | |
| Not Available |
| Full Name | Growing Grounded Therapies Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 222 E Wisconsin Ave Ste 300b, Lake Forest, Illinois |
| Authorized Official Name and Position | Laura Koerner (CEO) |
| Authorized Official Contact | 8479869319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Grounded Therapies Pllc 1340 Division St Highland Park IL 60035-3014 Ph: (479) 869-3198 | Growing Grounded Therapies Pllc 222 E Wisconsin Ave Ste 300b Lake Forest IL 60045-1723 Ph: (847) 986-9319 |
| NPI Number | 1396582201 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396582201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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