| Personal Enrichment Therapy Llc | |
|
164 Division St Ste 714 Elgin IL 60120-5534 | |
| (224) 366-0189 | |
| Not Available |
| Full Name | Personal Enrichment Therapy Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 164 Division St Ste 714, Elgin, Illinois |
| Authorized Official Name and Position | Jena Claudia Yuen (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2243660189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Enrichment Therapy Llc 275 Fern Dr Elk Grove Village IL 60007-4013 Ph: (224) 366-0189 | Personal Enrichment Therapy Llc 164 Division St Ste 714 Elgin IL 60120-5534 Ph: (224) 366-0189 |
| NPI Number | 1679216469 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679216469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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