| Prosper Mental Health Inc | |
|
1137 W 127th St Calumet Park IL 60827-6537 | |
| (708) 620-7807 | |
| Not Available |
| Full Name | Prosper Mental Health Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1137 W 127th St, Calumet Park, Illinois |
| Authorized Official Name and Position | Stacey Davis (PRESIDENT) |
| Authorized Official Contact | 7086207807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosper Mental Health Inc 1137 W 127th St Calumet Park IL 60827-6537 Ph: (708) 620-7807 | Prosper Mental Health Inc 1137 W 127th St Calumet Park IL 60827-6537 Ph: (708) 620-7807 |
| NPI Number | 1760136238 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760136238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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