| Tcpcindustries | |
|
47 Katrina Ln Sleepy Hollow IL 60118-3123 | |
| (847) 942-0555 | |
| Not Available |
| Full Name | Tcpcindustries |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 47 Katrina Ln, Sleepy Hollow, Illinois |
| Authorized Official Name and Position | Phetsavanh Coggin (OWNER) |
| Authorized Official Contact | 8479420555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcpcindustries 47 Katrina Ln Sleepy Hollow IL 60118-3123 Ph: (847) 942-0555 | Tcpcindustries 47 Katrina Ln Sleepy Hollow IL 60118-3123 Ph: (847) 942-0555 |
| NPI Number | 1093446734 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093446734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
Pck Behavioral Health Group Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 47 Katrina Ln, Sleepy Hollow, IL 60118 Phone: 224-699-0196 |