| Hope Behavior Practice | |
|
801 N Larkin Ave Joliet IL 60435-3441 | |
| (630) 863-0408 | |
| Not Available |
| Full Name | Hope Behavior Practice |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 801 N Larkin Ave, Joliet, Illinois |
| Authorized Official Name and Position | Audrey R Davis (PSYCHOTHERAPIST/CLINICAL SW) |
| Authorized Official Contact | 6308630408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Behavior Practice 215 Brookwood Ln E Bolingbrook IL 60440-5517 Ph: (630) 863-0408 | Hope Behavior Practice 801 N Larkin Ave Joliet IL 60435-3441 Ph: (630) 863-0408 |
| NPI Number | 1033626932 |
|---|---|
| Provider Enumeration Date | 01/02/2018 |
| Last Update Date | 01/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033626932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.019648 (Illinois) | Primary |
| 1041S0200X | Social Worker - School | (Illinois) | Secondary |
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