| Trousdale Counseling Services, Pllc | |
|
2100 Manchester Rd Ste 1628 Wheaton IL 60187-4788 | |
| (847) 529-6184 | |
| Not Available |
| Full Name | Trousdale Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2100 Manchester Rd Ste 1628, Wheaton, Illinois |
| Authorized Official Name and Position | Thomas Trousdale (OWNER) |
| Authorized Official Contact | 8475296184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trousdale Counseling Services, Pllc 2100 Manchester Rd Ste 1628 Wheaton IL 60187-4788 Ph: (847) 529-6184 | Trousdale Counseling Services, Pllc 2100 Manchester Rd Ste 1628 Wheaton IL 60187-4788 Ph: (847) 529-6184 |
| NPI Number | 1053068080 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 07/12/2022 |
| Certification Date | 07/12/2022 |
| Medicare PECOS PAC ID | 0840672408 |
|---|---|
| Medicare Enrollment ID | O20220729001646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053068080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Thomas Trousdale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477940112 PECOS PAC ID: 1759763311 Enrollment ID: I20220729001713 |
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