| Insideout Living Inc Ii | |
|
1618 Orrington Ave Ste 311 Evanston IL 60201-5016 | |
| (847) 868-6783 | |
| Not Available |
| Full Name | Insideout Living Inc Ii |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1618 Orrington Ave Ste 311, Evanston, Illinois |
| Authorized Official Name and Position | Lisa Lackey (CHIEF ENGAGEMENT OFFICER) |
| Authorized Official Contact | 8473287588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Insideout Living Inc Ii 1618 Orrington Ave Ste 311 Evanston IL 60201-5016 Ph: (847) 868-6783 | Insideout Living Inc Ii 1618 Orrington Ave Ste 311 Evanston IL 60201-5016 Ph: (847) 868-6783 |
| NPI Number | 1205326303 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 05/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205326303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180-007-044 (Illinois) | Primary |
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