| Theraviv Wellness Pllc | |
|
402 Somerset Dr Germantown Hills IL 61548-8329 | |
| (847) 861-0602 | |
| Not Available |
| Full Name | Theraviv Wellness Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 402 Somerset Dr, Germantown Hills, Illinois |
| Authorized Official Name and Position | Amanda Walner-cutright (OWNER/THERAPIST) |
| Authorized Official Contact | 8478610602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theraviv Wellness Pllc 402 Somerset Dr Germantown Hills IL 61548-8329 Ph: () - | Theraviv Wellness Pllc 402 Somerset Dr Germantown Hills IL 61548-8329 Ph: (847) 861-0602 |
| NPI Number | 1679201784 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679201784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |