| Solace Counseling And Wellness Pllc | |
|
1 Westbrook Corporate Ctr Ste 300 Westchester IL 60154-5709 | |
| (312) 945-8594 | |
| Not Available |
| Full Name | Solace Counseling And Wellness Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1 Westbrook Corporate Ctr, Westchester, Illinois |
| Authorized Official Name and Position | Anne Mirza (OWNER) |
| Authorized Official Contact | 3129458594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solace Counseling And Wellness Pllc 106 W Calendar Ave Ste 152 La Grange IL 60525-2325 Ph: (312) 945-8594 | Solace Counseling And Wellness Pllc 1 Westbrook Corporate Ctr Ste 300 Westchester IL 60154-5709 Ph: (312) 945-8594 |
| NPI Number | 1215657994 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/15/2024 |
| Medicare PECOS PAC ID | 2264809128 |
|---|---|
| Medicare Enrollment ID | O20221104002397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215657994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anne Elizabeth Mirza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568797918 PECOS PAC ID: 5395981526 Enrollment ID: I20130413000100 |
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