| Mental Edge Counseling Llc | |
|
11106 Front St Mokena IL 60448-1587 | |
| (815) 953-2553 | |
| Not Available |
| Full Name | Mental Edge Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11106 Front St, Mokena, Illinois |
| Authorized Official Name and Position | Nathan Lagacy (OWNER) |
| Authorized Official Contact | 8159532553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Edge Counseling Llc 11106 Front St Mokena IL 60448-1587 Ph: () - | Mental Edge Counseling Llc 11106 Front St Mokena IL 60448-1587 Ph: (815) 953-2553 |
| NPI Number | 1497100747 |
|---|---|
| Provider Enumeration Date | 04/24/2016 |
| Last Update Date | 04/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497100747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180010099 (Illinois) | Primary |
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