| Real Change Therapy Llc | |
|
11225 Front St Mokena IL 60448-1303 | |
| (815) 483-4460 | |
| Not Available |
| Full Name | Real Change Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11225 Front St, Mokena, Illinois |
| Authorized Official Name and Position | Anna Ashum (OWNER) |
| Authorized Official Contact | 8154834460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Change Therapy Llc 1811 Lewis Ln New Lenox IL 60451-9609 Ph: () - | Real Change Therapy Llc 11225 Front St Mokena IL 60448-1303 Ph: (815) 483-4460 |
| NPI Number | 1164180923 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164180923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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