| Well Journey Therapy Pllc | |
|
1201 Fowler Ave Evanston IL 60202-1024 | |
| (847) 868-0126 | |
| Not Available |
| Full Name | Well Journey Therapy Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1201 Fowler Ave, Evanston, Illinois |
| Authorized Official Name and Position | Kayla Mason (OWNER) |
| Authorized Official Contact | 8478680126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Journey Therapy Pllc 1509 Waukegan Rd # 1121 Glenview IL 60025-2122 Ph: (847) 868-0126 | Well Journey Therapy Pllc 1201 Fowler Ave Evanston IL 60202-1024 Ph: (847) 868-0126 |
| NPI Number | 1073219044 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073219044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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