The Zen Therapy Room Llc | |
171 Santa Fe Ln Willow Springs IL 60480-1624 | |
(630) 334-7858 | |
Not Available |
Full Name | The Zen Therapy Room Llc |
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Speciality | Social Worker |
Location | 171 Santa Fe Ln, Willow Springs, Illinois |
Authorized Official Name and Position | Catherine Watkins (OWNER) |
Authorized Official Contact | 6306018660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Zen Therapy Room Llc 171 Santa Fe Ln Willow Springs IL 60480-1624 Ph: (630) 601-8660 | The Zen Therapy Room Llc 171 Santa Fe Ln Willow Springs IL 60480-1624 Ph: (630) 334-7858 |
NPI Number | 1609522887 |
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Provider Enumeration Date | 02/25/2022 |
Last Update Date | 08/04/2022 |
Certification Date | 08/04/2022 |
Medicare PECOS PAC ID | 6901282367 |
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Medicare Enrollment ID | O20221007002645 |
Identifier | Type | State | Issuer |
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1609522887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Catherine M Klima |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073564332 PECOS PAC ID: 6406861855 Enrollment ID: I20060207000469 |
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