| Lifepoint Child Therapy Ltd | |
|
5101 Washington St Ste 1108 Gurnee IL 60031 | |
| (224) 208-5228 | |
| Not Available |
| Full Name | Lifepoint Child Therapy Ltd |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5101 Washington St, Gurnee, Illinois |
| Authorized Official Name and Position | Kristin E Patten (OWNER) |
| Authorized Official Contact | 2247150328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifepoint Child Therapy Ltd 18765 W Westwood Pl Lake Villa IL 60046-7432 Ph: (224) 715-0328 | Lifepoint Child Therapy Ltd 5101 Washington St Ste 1108 Gurnee IL 60031 Ph: (224) 208-5228 |
| NPI Number | 1699511832 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699511832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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