| Tk Therapy Solutions Pllc | |
|
2001 Maine St Quincy IL 62301-4345 | |
| (217) 577-2097 | |
| Not Available |
| Full Name | Tk Therapy Solutions Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2001 Maine St, Quincy, Illinois |
| Authorized Official Name and Position | Tara Krueger (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2172572849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tk Therapy Solutions Pllc 1507 Curtis Creek Rd Quincy IL 62301-6329 Ph: (217) 257-2849 | Tk Therapy Solutions Pllc 2001 Maine St Quincy IL 62301-4345 Ph: (217) 577-2097 |
| NPI Number | 1922696319 |
|---|---|
| Provider Enumeration Date | 01/02/2021 |
| Last Update Date | 01/02/2021 |
| Certification Date | 01/02/2021 |
| Medicare PECOS PAC ID | 0446664213 |
|---|---|
| Medicare Enrollment ID | O20210208000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922696319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tara D Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154547453 PECOS PAC ID: 2668696238 Enrollment ID: I20140623000584 |
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