| Soul Choice Counseling, Ltd | |
|
831 Forest Ave Apt 3w Evanston IL 60202-2421 | |
| (773) 332-5471 | |
| Not Available |
| Full Name | Soul Choice Counseling, Ltd |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 831 Forest Ave Apt 3w, Evanston, Illinois |
| Authorized Official Name and Position | Alyse A. Rynor (OWNER) |
| Authorized Official Contact | 8473288477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Choice Counseling, Ltd 831 Forest Ave #3w Evanston IL 60202-2486 Ph: (847) 328-8477 | Soul Choice Counseling, Ltd 831 Forest Ave Apt 3w Evanston IL 60202-2421 Ph: (773) 332-5471 |
| NPI Number | 1922267475 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922267475 | NPI | - | NPPES |
| IL2251 | Other | IL | MEDICARE PTAN FOR CORPORATION |
| IL2251001 | Other | IL | MEDICARE PTAN FOR INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149006701 (Illinois) | Primary |
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