| The Wellness Couch | |
|
2946 Carmel Dr Flossmoor IL 60422-2284 | |
| (708) 953-9355 | |
| Not Available |
| Full Name | The Wellness Couch |
|---|---|
| Speciality | Counselor |
| Location | 2946 Carmel Dr, Flossmoor, Illinois |
| Authorized Official Name and Position | Rachel Harden-maddox (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7089539355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Couch 4610 N Clark St Chicago IL 60640-4620 Ph: (708) 953-9355 | The Wellness Couch 2946 Carmel Dr Flossmoor IL 60422-2284 Ph: (708) 953-9355 |
| NPI Number | 1699532010 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Medicare PECOS PAC ID | 4486191939 |
|---|---|
| Medicare Enrollment ID | O20240802000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699532010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rachel Diane Harden-maddox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457967887 PECOS PAC ID: 5395282842 Enrollment ID: I20240805000881 |
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