| Prospection Counseling Llc | |
|
3005 Macarthur Blvd Ste 207 Northbrook IL 60062-1901 | |
| (847) 306-3686 | |
| Not Available |
| Full Name | Prospection Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3005 Macarthur Blvd Ste 207, Northbrook, Illinois |
| Authorized Official Name and Position | Lisa Moss (OWNER) |
| Authorized Official Contact | 8473063686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospection Counseling Llc 955 Blackhawk Ln Riverwoods IL 60015-2420 Ph: (847) 306-3686 | Prospection Counseling Llc 3005 Macarthur Blvd Ste 207 Northbrook IL 60062-1901 Ph: (847) 306-3686 |
| NPI Number | 1275166480 |
|---|---|
| Provider Enumeration Date | 02/16/2020 |
| Last Update Date | 07/30/2020 |
| Certification Date | 07/30/2020 |
| Medicare PECOS PAC ID | 2961829114 |
|---|---|
| Medicare Enrollment ID | O20200902001163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275166480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa A Moss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942450473 PECOS PAC ID: 9537226451 Enrollment ID: I20090320000300 |
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