| Allie Divito-mccoy Therapeutic Services Pllc | |
|
387 Preserve Ln Wood Dale IL 60191-1949 | |
| (630) 991-0229 | |
| Not Available |
| Full Name | Allie Divito-mccoy Therapeutic Services Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 387 Preserve Ln, Wood Dale, Illinois |
| Authorized Official Name and Position | Alexandra Divito (OWNER/LCPC CADC) |
| Authorized Official Contact | 6309910229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allie Divito-mccoy Therapeutic Services Pllc 387 Preserve Ln Wood Dale IL 60191-1949 Ph: (630) 991-0229 | Allie Divito-mccoy Therapeutic Services Pllc 387 Preserve Ln Wood Dale IL 60191-1949 Ph: (630) 991-0229 |
| NPI Number | 1689568958 |
|---|---|
| Provider Enumeration Date | 06/03/2025 |
| Last Update Date | 06/03/2025 |
| Certification Date | 06/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689568958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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