|
| |
|
901 Biesterfield Rd Ste 109 Elk Grove Village IL 60007-3392 | |
| (847) 979-0025 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 901 Biesterfield Rd, Elk Grove Village, Illinois |
| Authorized Official Name and Position | Tarah Michelle Galloway (OWNER) |
| Authorized Official Contact | 8476304756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
721 Cambridge Dr Schaumburg IL 60193-2664 Ph: (847) 630-4756 | 901 Biesterfield Rd Ste 109 Elk Grove Village IL 60007-3392 Ph: (847) 979-0025 |
| NPI Number | 1801251376 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 12/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801251376 | NPI | - | NPPES |
| 1063821049 | Other | IL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180009166 (Illinois) | Primary |
Kenneth Young Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Rohlwing Rd, Elk Grove Village, IL 60007 Phone: 847-524-8800 | |
Kenneth Young Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 936 Jefferson Sq Apt C, Elk Grove Village, IL 60007 Phone: 847-524-8800 | |
Mindful Soul Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 Ridge Square, Elk Grove Village, IL 60007 Phone: 224-558-3261 | |
Sj Harmony Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1056 Florida Ln, Elk Grove Village, IL 60007 Phone: 773-835-0479 |