| Your Exhilarating Life Therapy Services Pllc | |
|
1650 Lebanon Ave Belleville IL 62221-2466 | |
| (618) 910-8771 | |
| Not Available |
| Full Name | Your Exhilarating Life Therapy Services Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1650 Lebanon Ave, Belleville, Illinois |
| Authorized Official Name and Position | Carmel Brown (CLINICAL COUNSELOR/OWNER) |
| Authorized Official Contact | 6189108771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Exhilarating Life Therapy Services Pllc 1405 Olroyd Dr Swansea IL 62226-8565 Ph: (618) 910-8771 | Your Exhilarating Life Therapy Services Pllc 1650 Lebanon Ave Belleville IL 62221-2466 Ph: (618) 910-8771 |
| NPI Number | 1326611047 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 07/20/2021 |
| Certification Date | 07/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326611047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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