| Imperceptible Healing Pllc | |
|
288 Main St Park Forest IL 60466-2098 | |
| (312) 802-2442 | |
| Not Available |
| Full Name | Imperceptible Healing Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 288 Main St, Park Forest, Illinois |
| Authorized Official Name and Position | Mia Ja'net Foote (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 3128022442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperceptible Healing Pllc 515 Cass St Crete IL 60417-2820 Ph: (312) 802-2442 | Imperceptible Healing Pllc 288 Main St Park Forest IL 60466-2098 Ph: (312) 802-2442 |
| NPI Number | 1548032808 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Medicare PECOS PAC ID | 2769820943 |
|---|---|
| Medicare Enrollment ID | O20240406000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548032808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mia Ja'net Foote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427723790 PECOS PAC ID: 3678911856 Enrollment ID: I20240406000528 |
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