New Hope Counseling Ltd. | |
679 W Streamwood Blvd Unit A Streamwood IL 60107-4227 | |
(224) 517-6234 | |
Not Available |
Full Name | New Hope Counseling Ltd. |
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Speciality | Clinic/Center |
Location | 679 W Streamwood Blvd Unit A, Streamwood, Illinois |
Authorized Official Name and Position | Carol L Didominicis (COUNSELOR) |
Authorized Official Contact | 2245176234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Hope Counseling Ltd. 679 W Streamwood Blvd Unit A Streamwood IL 60107-4227 Ph: (224) 517-6234 | New Hope Counseling Ltd. 679 W Streamwood Blvd Unit A Streamwood IL 60107-4227 Ph: (224) 517-6234 |
NPI Number | 1265948145 |
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Provider Enumeration Date | 12/14/2017 |
Last Update Date | 03/17/2018 |
Medicare PECOS PAC ID | 7517362338 |
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Medicare Enrollment ID | O20210817002789 |
Identifier | Type | State | Issuer |
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1265948145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Carol L Didominicis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629113394 PECOS PAC ID: 9234268814 Enrollment ID: I20100519000591 |
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