Truth And Grace Counseling, Llc | |
461 Briargate Dr South Elgin IL 60177-2225 | |
(224) 578-5548 | |
(847) 301-0911 |
Full Name | Truth And Grace Counseling, Llc |
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Speciality | Counselor |
Location | 461 Briargate Dr, South Elgin, Illinois |
Authorized Official Name and Position | Karen Marie Bridwell (PSYCHOTHERAPIST) |
Authorized Official Contact | 2245785548 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Truth And Grace Counseling, Llc 835 Gregory Ln Schaumburg IL 60193-3916 Ph: (224) 578-5548 | Truth And Grace Counseling, Llc 461 Briargate Dr South Elgin IL 60177-2225 Ph: (224) 578-5548 |
NPI Number | 1205102043 |
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Provider Enumeration Date | 03/27/2012 |
Last Update Date | 03/27/2012 |
Medicare PECOS PAC ID | 5092152603 |
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Medicare Enrollment ID | O20240319000971 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205102043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 248000554 (Illinois) | Primary |
Provider Name | Karen Marie Bridwell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1407043771 PECOS PAC ID: 6901243518 Enrollment ID: I20240319001069 |
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