| The Impact Of Therapy L.l.c. | |
|
10310 W York House Rd Beach Park IL 60087-2402 | |
| (847) 323-6213 | |
| Not Available |
| Full Name | The Impact Of Therapy L.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10310 W York House Rd, Beach Park, Illinois |
| Authorized Official Name and Position | Jonathan Arenas (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8473236213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Impact Of Therapy L.l.c. 10310 W York House Rd Beach Park IL 60087-2402 Ph: (847) 323-6213 | The Impact Of Therapy L.l.c. 10310 W York House Rd Beach Park IL 60087-2402 Ph: (847) 323-6213 |
| NPI Number | 1548033244 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/10/2023 |
| Certification Date | 11/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548033244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Diving Bell Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 W Fairbanks Ave, Beach Park, IL 60099 Phone: 224-433-7568 |