| Winding Vine Counseling Inc | |
|
1938 E Lincoln Hwy Ste 207b New Lenox IL 60451-3810 | |
| (815) 314-4402 | |
| Not Available |
| Full Name | Winding Vine Counseling Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1938 E Lincoln Hwy Ste 207b, New Lenox, Illinois |
| Authorized Official Name and Position | Teresa D'aversa (PRESIDENT) |
| Authorized Official Contact | 8155461152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winding Vine Counseling Inc 309 W North St Morris IL 60450-1836 Ph: (815) 546-1152 | Winding Vine Counseling Inc 1938 E Lincoln Hwy Ste 207b New Lenox IL 60451-3810 Ph: (815) 314-4402 |
| NPI Number | 1144061854 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144061854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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