| Mack's Empowerment Counseling | |
|
164 Division St Ste 716 Elgin IL 60120-5534 | |
| (224) 407-5019 | |
| Not Available |
| Full Name | Mack's Empowerment Counseling |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 164 Division St Ste 716, Elgin, Illinois |
| Authorized Official Name and Position | Coresair Anton Mack (OWNER/CLINICIAN) |
| Authorized Official Contact | 2244075019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mack's Empowerment Counseling 220 E Hillcrest Dr Apt 4210 Dekalb IL 60115-2452 Ph: (847) 421-4613 | Mack's Empowerment Counseling 164 Division St Ste 716 Elgin IL 60120-5534 Ph: (224) 407-5019 |
| NPI Number | 1376118208 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 05/24/2021 |
| Certification Date | 05/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376118208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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