| Peaceful Mind Therapy, Pllc | |
|
656 Hyacinth Pl Highland Park IL 60035-1170 | |
| (773) 909-9614 | |
| Not Available |
| Full Name | Peaceful Mind Therapy, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 656 Hyacinth Pl, Highland Park, Illinois |
| Authorized Official Name and Position | Samantha Schulze (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7739099614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Mind Therapy, Pllc 656 Hyacinth Pl Highland Park IL 60035-1170 Ph: (773) 909-9614 | Peaceful Mind Therapy, Pllc 656 Hyacinth Pl Highland Park IL 60035-1170 Ph: (773) 909-9614 |
| NPI Number | 1407438237 |
|---|---|
| Provider Enumeration Date | 04/21/2021 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Medicare PECOS PAC ID | 0840693271 |
|---|---|
| Medicare Enrollment ID | O20210722003515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407438237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Samantha O Schulze |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023263308 PECOS PAC ID: 9436307253 Enrollment ID: I20140822002362 |
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