| Nourish Well Counseling, Pllc | |
|
526 Crescent Blvd Ste 210 Glen Ellyn IL 60137-4177 | |
| (847) 533-9760 | |
| Not Available |
| Full Name | Nourish Well Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 526 Crescent Blvd Ste 210, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Amanda Scanlon (LCPC/ OWNER) |
| Authorized Official Contact | 8475339760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nourish Well Counseling, Pllc 526 Crescent Blvd Ste 210 Glen Ellyn IL 60137-4177 Ph: (847) 533-9760 | Nourish Well Counseling, Pllc 526 Crescent Blvd Ste 210 Glen Ellyn IL 60137-4177 Ph: (847) 533-9760 |
| NPI Number | 1407674492 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407674492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 133N00000X | Nutritionist | (* (Not Available)) | Secondary |
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