Journeys Counseling Center, Llc | |
4200 Euclid Ave Rolling Meadows IL 60008-2083 | |
(847) 833-1930 | |
Not Available |
Full Name | Journeys Counseling Center, Llc |
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Speciality | Counselor |
Location | 4200 Euclid Ave, Rolling Meadows, Illinois |
Authorized Official Name and Position | Robert J Geiss (MEMBER MANAGER) |
Authorized Official Contact | 8478338544 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Journeys Counseling Center, Llc 4200 Euclid Ave Rolling Meadows IL 60008-2083 Ph: (847) 833-1930 | Journeys Counseling Center, Llc 4200 Euclid Ave Rolling Meadows IL 60008-2083 Ph: (847) 833-1930 |
NPI Number | 1063731651 |
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Provider Enumeration Date | 05/23/2010 |
Last Update Date | 05/23/2010 |
Medicare PECOS PAC ID | 4587198197 |
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Medicare Enrollment ID | O20241105001972 |
Identifier | Type | State | Issuer |
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1063731651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180-1244 (Illinois) | Primary |
1041C0700X | Social Worker - Clinical | 149-010194 (Illinois) | Secondary |
Provider Name | Robert John Geiss |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093839441 PECOS PAC ID: 5496289001 Enrollment ID: I20241105002031 |
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