| Tru Divine Counseling & Wellness | |
|
118 Wilson St Park Forest IL 60466-1365 | |
| (630) 276-8872 | |
| Not Available |
| Full Name | Tru Divine Counseling & Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 118 Wilson St, Park Forest, Illinois |
| Authorized Official Name and Position | Alexia Newbern (SOLE MEMBER) |
| Authorized Official Contact | 6302768872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tru Divine Counseling & Wellness 118 Wilson St Park Forest IL 60466-1365 Ph: () - | Tru Divine Counseling & Wellness 118 Wilson St Park Forest IL 60466-1365 Ph: (630) 276-8872 |
| NPI Number | 1073203576 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073203576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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