| Lets Thrive Counseling | |
|
16335 Harlem Ave Tinley Park IL 60477-2574 | |
| (708) 752-0115 | |
| Not Available |
| Full Name | Lets Thrive Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 16335 Harlem Ave, Tinley Park, Illinois |
| Authorized Official Name and Position | Kimberly Laurin (THERAPIST) |
| Authorized Official Contact | 7087702777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lets Thrive Counseling 16335 Harlem Ave Ste 406 Tinley Park IL 60477-2678 Ph: (708) 770-2777 | Lets Thrive Counseling 16335 Harlem Ave Tinley Park IL 60477-2574 Ph: (708) 752-0115 |
| NPI Number | 1356913388 |
|---|---|
| Provider Enumeration Date | 07/09/2021 |
| Last Update Date | 10/24/2021 |
| Certification Date | 10/24/2021 |
| Medicare PECOS PAC ID | 4789073198 |
|---|---|
| Medicare Enrollment ID | O20211104003076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356913388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kimberly Laurin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417385469 PECOS PAC ID: 6305141128 Enrollment ID: I20211104003109 |
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