| Pendulum Counseling Services Corp | |
|
440 W Boughton Rd Ste 200d Bolingbrook IL 60440-4510 | |
| (331) 481-9885 | |
| Not Available |
| Full Name | Pendulum Counseling Services Corp |
|---|---|
| Speciality | Counselor |
| Location | 440 W Boughton Rd Ste 200d, Bolingbrook, Illinois |
| Authorized Official Name and Position | Cassandra Lynn Wegner (REGISTERED AGENT) |
| Authorized Official Contact | 3314819885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pendulum Counseling Services Corp 440 W Boughton Rd Ste 200d Bolingbrook IL 60440-4510 Ph: (331) 481-9885 | Pendulum Counseling Services Corp 440 W Boughton Rd Ste 200d Bolingbrook IL 60440-4510 Ph: (331) 481-9885 |
| NPI Number | 1205559945 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Medicare PECOS PAC ID | 8325583891 |
|---|---|
| Medicare Enrollment ID | O20240709004530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205559945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cassandra Lynn Wegner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497360697 PECOS PAC ID: 9234674706 Enrollment ID: I20240709004586 |
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