| Truth Youth & Family Services, Llc | |
|
2504 Washington St. 300 B/c Waukegan IL 60085 | |
| (224) 489-7773 | |
| Not Available |
| Full Name | Truth Youth & Family Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2504 Washington St., Waukegan, Illinois |
| Authorized Official Name and Position | Vernice L Wright (THERAPIST) |
| Authorized Official Contact | 2244897773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Truth Youth & Family Services, Llc 2504 Washington St 300 B/c Waukegan IL 60085-4983 Ph: (224) 489-7773 | Truth Youth & Family Services, Llc 2504 Washington St. 300 B/c Waukegan IL 60085 Ph: (224) 489-7773 |
| NPI Number | 1093181141 |
|---|---|
| Provider Enumeration Date | 08/12/2015 |
| Last Update Date | 05/20/2016 |
| Medicare PECOS PAC ID | 1456793728 |
|---|---|
| Medicare Enrollment ID | O20240531002678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093181141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.009793 (Illinois) | Primary |
| 251S00000X | Community/behavioral Health | 180009793 (Illinois) | Secondary |
| Provider Name | Vernice L Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285019166 PECOS PAC ID: 2365884632 Enrollment ID: I20240531002960 |
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