| Mental Health Revolution Pllc | |
|
1590 S Milwaukee Ave Ste 301 Libertyville IL 60048-3786 | |
| (847) 220-8010 | |
| (847) 220-5918 |
| Full Name | Mental Health Revolution Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1590 S Milwaukee Ave Ste 301, Libertyville, Illinois |
| Authorized Official Name and Position | Aimee Rodolff (OWNER & CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8472208010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Revolution Pllc 1590 S Milwaukee Ave Ste 301 Libertyville IL 60048-3786 Ph: (847) 220-8010 | Mental Health Revolution Pllc 1590 S Milwaukee Ave Ste 301 Libertyville IL 60048-3786 Ph: (847) 220-8010 |
| NPI Number | 1679196588 |
|---|---|
| Provider Enumeration Date | 05/26/2020 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679196588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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