| Primrose Family Therapy Pllc | |
|
465 Park St Elgin IL 60120-4488 | |
| (815) 822-8668 | |
| Not Available |
| Full Name | Primrose Family Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 465 Park St, Elgin, Illinois |
| Authorized Official Name and Position | Cheyenne Leigh Grace (SOLE PROVIDER) |
| Authorized Official Contact | 8158228668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primrose Family Therapy Pllc 465 Park St Elgin IL 60120-4488 Ph: (815) 822-8668 | Primrose Family Therapy Pllc 465 Park St Elgin IL 60120-4488 Ph: (815) 822-8668 |
| NPI Number | 1043071897 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043071897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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