| Best Life Therapy Pllc | |
|
6655 N Alpine Dr Byron IL 61010-9326 | |
| (779) 348-3493 | |
| Not Available |
| Full Name | Best Life Therapy Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6655 N Alpine Dr, Byron, Illinois |
| Authorized Official Name and Position | Raissa Baxter (OWNER/LCSW) |
| Authorized Official Contact | 7793483493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Best Life Therapy Pllc 6655 N Alpine Dr Byron IL 61010-9326 Ph: (779) 348-3493 | Best Life Therapy Pllc 6655 N Alpine Dr Byron IL 61010-9326 Ph: (779) 348-3493 |
| NPI Number | 1457116162 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 5597107995 |
|---|---|
| Medicare Enrollment ID | O20240530004000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457116162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Raissa Baxter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689305823 PECOS PAC ID: 6901272772 Enrollment ID: I20221019001163 |
Sinnissippi Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 W. Blackhawk Dr., Byron, IL 61010 Phone: 815-284-6611 |