| Transformative Growth | |
|
24w500 Maple Ave Ste 216a Naperville IL 60540-6057 | |
| (630) 423-6010 | |
| (844) 270-7898 |
| Full Name | Transformative Growth |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 24w500 Maple Ave Ste 216a, Naperville, Illinois |
| Authorized Official Name and Position | Ethan Nemechek (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 6304236010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Growth 24w500 Maple Ave Ste 216a Naperville IL 60540-6057 Ph: (630) 423-6010 | Transformative Growth 24w500 Maple Ave Ste 216a Naperville IL 60540-6057 Ph: (630) 423-6010 |
| NPI Number | 1164209854 |
|---|---|
| Provider Enumeration Date | 09/14/2023 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164209854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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