| Revisions Counseling Services, Llc | |
|
190 Lily Cache Ln Bolingbrook IL 60440-3415 | |
| (630) 481-6644 | |
| (630) 708-7632 |
| Full Name | Revisions Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 190 Lily Cache Ln, Bolingbrook, Illinois |
| Authorized Official Name and Position | Regina Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6304816644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revisions Counseling Services, Llc 105 Canterbury Ln #1996 Bolingbrook IL 60440-0490 Ph: (630) 481-6644 | Revisions Counseling Services, Llc 190 Lily Cache Ln Bolingbrook IL 60440-3415 Ph: (630) 481-6644 |
| NPI Number | 1881096949 |
|---|---|
| Provider Enumeration Date | 09/20/2014 |
| Last Update Date | 09/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881096949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.008929 (Illinois) | Primary |
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