| Wholistically Therapeutic Llc | |
|
15255 S 94th Ave Ste 500 Orland Park IL 60462-3895 | |
| (708) 834-7544 | |
| (708) 834-7541 |
| Full Name | Wholistically Therapeutic Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15255 S 94th Ave Ste 500, Orland Park, Illinois |
| Authorized Official Name and Position | Dominique Clemons (OWNER/THERAPIST) |
| Authorized Official Contact | 7088347544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholistically Therapeutic Llc 15255 S 94th Ave Ste 500 Orland Park IL 60462-3895 Ph: (708) 834-7544 | Wholistically Therapeutic Llc 15255 S 94th Ave Ste 500 Orland Park IL 60462-3895 Ph: (708) 834-7544 |
| NPI Number | 1922628015 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922628015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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