| The Thriving You, Pllc | |
|
7620 W 159th St Ste 101 Orland Park IL 60462-5400 | |
| (708) 232-3302 | |
| Not Available |
| Full Name | The Thriving You, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 7620 W 159th St Ste 101, Orland Park, Illinois |
| Authorized Official Name and Position | Stephanie M Kelly (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7087147377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Thriving You, Pllc 7620 W 159th St Ste 101 Orland Park IL 60462-5400 Ph: (708) 714-7377 | The Thriving You, Pllc 7620 W 159th St Ste 101 Orland Park IL 60462-5400 Ph: (708) 232-3302 |
| NPI Number | 1659085470 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Medicare PECOS PAC ID | 1153784699 |
|---|---|
| Medicare Enrollment ID | O20230830003323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659085470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sandra L Kasprzyk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558407676 PECOS PAC ID: 8426186743 Enrollment ID: I20100507000013 |
| Provider Name | Joann Shere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215309893 PECOS PAC ID: 0840500468 Enrollment ID: I20151112000118 |
| Provider Name | Adela B Wilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508212259 PECOS PAC ID: 6204128564 Enrollment ID: I20160706001687 |
| Provider Name | Stephanie Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447574595 PECOS PAC ID: 9436402153 Enrollment ID: I20181026001482 |
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