| Peaceful Chaos Pllc | |
|
3431 Attica Rd Olympia Fields IL 60461-1307 | |
| (872) 243-9945 | |
| Not Available |
| Full Name | Peaceful Chaos Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3431 Attica Rd, Olympia Fields, Illinois |
| Authorized Official Name and Position | Shanequia Seymore (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8722439945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Chaos Pllc 3431 Attica Rd Olympia Fields IL 60461-1307 Ph: (872) 243-9945 | Peaceful Chaos Pllc 3431 Attica Rd Olympia Fields IL 60461-1307 Ph: (872) 243-9945 |
| NPI Number | 1285387928 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 05/09/2022 |
| Certification Date | 05/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285387928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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