| Actualizing Your Best Self, Pllc | |
|
2531 Division St Ste 101 Joliet IL 60435-8735 | |
| (815) 200-9322 | |
| Not Available |
| Full Name | Actualizing Your Best Self, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2531 Division St Ste 101, Joliet, Illinois |
| Authorized Official Name and Position | Elizabeth Ormes (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8152009322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Actualizing Your Best Self, Pllc 1131 W Jefferson St Ste 211 Shorewood IL 60404-0701 Ph: () - | Actualizing Your Best Self, Pllc 2531 Division St Ste 101 Joliet IL 60435-8735 Ph: (815) 200-9322 |
| NPI Number | 1114723335 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 02/19/2025 |
| Certification Date | 02/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114723335 | NPI | - | NPPES |
| 248.005906 | Other | IL | PROFESSIONAL LIMITED LIABILITY COMPANY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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