| The Mending Corner Llc | |
|
1 Westbrook Corporate Ctr Ste 300 Westchester IL 60154-5709 | |
| (312) 550-3511 | |
| Not Available |
| Full Name | The Mending Corner Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1 Westbrook Corporate Ctr Ste 300, Westchester, Illinois |
| Authorized Official Name and Position | Tichina Monique Burnett (CLINICAL THERAPIST) |
| Authorized Official Contact | 3125503511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mending Corner Llc 8448 S Burley Ave # 2 Chicago IL 60617-2615 Ph: (312) 550-3511 | The Mending Corner Llc 1 Westbrook Corporate Ctr Ste 300 Westchester IL 60154-5709 Ph: (312) 550-3511 |
| NPI Number | 1518659291 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518659291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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