Lifegate Counseling, Llc | |
18 E. Dundee Rd. Bldg 5, Suite 200 Barrington IL 60010-5286 | |
(224) 634-4455 | |
Not Available |
Full Name | Lifegate Counseling, Llc |
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Speciality | Psychologist |
Location | 18 E. Dundee Rd., Barrington, Illinois |
Authorized Official Name and Position | Andrew William Hartman (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 2246344455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifegate Counseling, Llc 18 E. Dundee Rd. Bldg 6, Suite 220 Barrington IL 60010-5286 Ph: (224) 634-4455 | Lifegate Counseling, Llc 18 E. Dundee Rd. Bldg 5, Suite 200 Barrington IL 60010-5286 Ph: (224) 634-4455 |
NPI Number | 1679020143 |
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Provider Enumeration Date | 09/01/2016 |
Last Update Date | 08/18/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679020143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 071-004431 (Illinois) | Primary |
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