| South Shore Behavioral Consultants | |
|
369 East 147th Street Suite E Harvey IL 60426 | |
| (708) 333-0045 | |
| (708) 333-0053 |
| Full Name | South Shore Behavioral Consultants |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 369 East 147th Street Suite E, Harvey, Illinois |
| Authorized Official Name and Position | Danetta Pittman (VICE PRESIDENT) |
| Authorized Official Contact | 7083330045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Behavioral Consultants 369 E 147th St Ste E Harvey IL 60426-2593 Ph: (708) 333-0045 | South Shore Behavioral Consultants 369 East 147th Street Suite E Harvey IL 60426 Ph: (708) 333-0045 |
| NPI Number | 1669657466 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669657466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
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