| Williams Psychotherapy Services And Consultations, Llc | |
|
344 W Willow St Chicago IL 60614-5784 | |
| (312) 608-0913 | |
| Not Available |
| Full Name | Williams Psychotherapy Services And Consultations, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 344 W Willow St, Chicago, Illinois |
| Authorized Official Name and Position | Margaret Williams (MANAGING MEMBER) |
| Authorized Official Contact | 3126080913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Psychotherapy Services And Consultations, Llc 344 W Willow St Chicago IL 60614-5784 Ph: (312) 608-0913 | Williams Psychotherapy Services And Consultations, Llc 344 W Willow St Chicago IL 60614-5784 Ph: (312) 608-0913 |
| NPI Number | 1114503604 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/09/2021 |
| Medicare PECOS PAC ID | 4385040682 |
|---|---|
| Medicare Enrollment ID | O20210913001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114503604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Margaret Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871174904 PECOS PAC ID: 7911303219 Enrollment ID: I20210913002229 |
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