S. Burby Mental Health Consulting, Pllc | |
21141 Governors Hwy Ste 205 Matteson IL 60443-3810 | |
(708) 252-3152 | |
Not Available |
Full Name | S. Burby Mental Health Consulting, Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 21141 Governors Hwy Ste 205, Matteson, Illinois |
Authorized Official Name and Position | Stefanie Burby (OWNER) |
Authorized Official Contact | 7082523152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
S. Burby Mental Health Consulting, Pllc 21141 Governors Hwy Ste 205 Matteson IL 60443-3810 Ph: (708) 252-3152 | S. Burby Mental Health Consulting, Pllc 21141 Governors Hwy Ste 205 Matteson IL 60443-3810 Ph: (708) 252-3152 |
NPI Number | 1396469896 |
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Provider Enumeration Date | 09/28/2022 |
Last Update Date | 09/28/2022 |
Certification Date | 09/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396469896 | NPI | - | NPPES |
1558762724 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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