Life Compass Behavioral Health And Wellness, P.c. | |
2095 E Tracy St Diamond IL 60416-9409 | |
(815) 823-6972 | |
Not Available |
Full Name | Life Compass Behavioral Health And Wellness, P.c. |
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Speciality | Social Worker - Clinical |
Location | 2095 E Tracy St, Diamond, Illinois |
Authorized Official Name and Position | Hilary E. Kohs (PRESIDENT/TREASURER) |
Authorized Official Contact | 8158236972 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Compass Behavioral Health And Wellness, P.c. 2095 E Tracy St Diamond IL 60416-9409 Ph: (815) 823-6972 | Life Compass Behavioral Health And Wellness, P.c. 2095 E Tracy St Diamond IL 60416-9409 Ph: (815) 823-6972 |
NPI Number | 1134750763 |
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Provider Enumeration Date | 02/02/2020 |
Last Update Date | 02/02/2020 |
Certification Date | 02/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134750763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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