| Thriving Roots Psychological Services Pllc | |
|
18700 Wolf Rd Ste 252 Mokena IL 60448-8768 | |
| (630) 296-6784 | |
| Not Available |
| Full Name | Thriving Roots Psychological Services Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 18700 Wolf Rd Ste 252, Mokena, Illinois |
| Authorized Official Name and Position | Elizabeth Polek (OWNER) |
| Authorized Official Contact | 6302966784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Roots Psychological Services Pllc 18700 Wolf Rd Ste 252 Mokena IL 60448-8768 Ph: () - | Thriving Roots Psychological Services Pllc 18700 Wolf Rd Ste 252 Mokena IL 60448-8768 Ph: (630) 296-6784 |
| NPI Number | 1649943317 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649943317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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