Interlude Healing Collective Llc | |
2024 Hickory Rd Ste 306 Homewood IL 60430-2145 | |
(708) 918-4839 | |
Not Available |
Full Name | Interlude Healing Collective Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 2024 Hickory Rd Ste 306, Homewood, Illinois |
Authorized Official Name and Position | Melyssa Scott (CEO) |
Authorized Official Contact | 7089793984 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Interlude Healing Collective Llc 2024 Hickory Rd Ste 306 Homewood IL 60430-2145 Ph: (708) 918-4839 | Interlude Healing Collective Llc 2024 Hickory Rd Ste 306 Homewood IL 60430-2145 Ph: (708) 918-4839 |
NPI Number | 1326858820 |
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Provider Enumeration Date | 01/08/2025 |
Last Update Date | 01/08/2025 |
Certification Date | 01/08/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326858820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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