| Inner Warrior Llc | |
|
825 S Waukegan Rd Ste A81053 Lake Forest IL 60045-2696 | |
| (773) 960-2771 | |
| Not Available |
| Full Name | Inner Warrior Llc |
|---|---|
| Speciality | Social Worker |
| Location | 825 S Waukegan Rd Ste A81053, Lake Forest, Illinois |
| Authorized Official Name and Position | Susan Jaobs (OWNER) |
| Authorized Official Contact | 7739602771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Warrior Llc 825 S Waukegan Rd Ste A81053 Lake Forest IL 60045-2696 Ph: (773) 960-2771 | Inner Warrior Llc 825 S Waukegan Rd Ste A81053 Lake Forest IL 60045-2696 Ph: (773) 960-2771 |
| NPI Number | 1811688047 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Medicare PECOS PAC ID | 6901260447 |
|---|---|
| Medicare Enrollment ID | O20230915002496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811688047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan D Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013942218 PECOS PAC ID: 9436210275 Enrollment ID: I20081211000377 |
Holistic Counseling And Wellness, Limited Liability Company Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Saunders Rd Ste 150, Lake Forest, IL 60045 Phone: 617-650-7850 | |
Alisa Courtney Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Wisconsin Ave, Suite 203b, Lake Forest, IL 60045 Phone: 847-624-9712 Fax: 847-748-7478 | |
Parkside Psychological Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 840 S Waukegan Rd Ste 203, Lake Forest, IL 60045 Phone: 847-420-5088 | |
Anita Schmidt Counseling, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 825 S Waukegan Road, Suite A8 Pmb 1079, Lake Forest, IL 60045 Phone: 847-786-5682 | |
Condor Life Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Saunders Rd Ste 150, Lake Forest, IL 60045 Phone: 833-955-5888 | |
Growing Grounded Therapies Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 E Wisconsin Ave Ste 300b, Lake Forest, IL 60045 Phone: 847-986-9319 | |
Z Holistic Connections Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Gavin Ct, Lake Forest, IL 60045 Phone: 847-445-6608 |