| Mending Hearts Therapy | |
|
815 S Laura Ln Diamond IL 60416-9314 | |
| (630) 309-0926 | |
| Not Available |
| Full Name | Mending Hearts Therapy |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 815 S Laura Ln, Diamond, Illinois |
| Authorized Official Name and Position | Jennifer L Loughran (LCSW) |
| Authorized Official Contact | 6303090926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Hearts Therapy 815 S Laura Ln Diamond IL 60416-9314 Ph: (630) 309-0926 | Mending Hearts Therapy 815 S Laura Ln Diamond IL 60416-9314 Ph: (630) 309-0926 |
| NPI Number | 1215656970 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/25/2022 |
| Medicare PECOS PAC ID | 5597131318 |
|---|---|
| Medicare Enrollment ID | O20221019002945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215656970 | NPI | - | NPPES |
| Provider Name | Jennifer Lynn Loughran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588905129 PECOS PAC ID: 9931327731 Enrollment ID: I20140819002860 |
Tori Brueggert, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1055 Crystal Ln, Diamond, IL 60416 Phone: 815-529-7267 | |
Life Compass Behavioral Health And Wellness, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2095 E Tracy St, Diamond, IL 60416 Phone: 815-823-6972 |