| The Knot Consulting | |
|
5 Revere Dr Ste 200 Northbrook IL 60062-8000 | |
| (630) 258-8059 | |
| (844) 629-5618 |
| Full Name | The Knot Consulting |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5 Revere Dr Ste 200, Northbrook, Illinois |
| Authorized Official Name and Position | Lora Van Arsdell (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6302588059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Knot Consulting 5 Revere Drive Ste 200, Pmb 2100 Northbrook IL 60062 Ph: (630) 258-8059 | The Knot Consulting 5 Revere Dr Ste 200 Northbrook IL 60062-8000 Ph: (630) 258-8059 |
| NPI Number | 1467933663 |
|---|---|
| Provider Enumeration Date | 08/24/2018 |
| Last Update Date | 12/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467933663 | NPI | - | NPPES |
| 1558769109 | Other | NPI | |
| 1558769109 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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