| Blending Families, Inc. | |
|
217 E Grand Ave Lake Villa IL 60046-9043 | |
| (224) 456-0345 | |
| (847) 838-9907 |
| Full Name | Blending Families, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 217 E Grand Ave, Lake Villa, Illinois |
| Authorized Official Name and Position | Kathleen Angell (OWNER) |
| Authorized Official Contact | 8475339769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blending Families, Inc. Po Box 887 Lake Villa IL 60046-0887 Ph: (224) 456-0345 | Blending Families, Inc. 217 E Grand Ave Lake Villa IL 60046-9043 Ph: (224) 456-0345 |
| NPI Number | 1265626865 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 06/09/2026 |
| Certification Date | 06/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265626865 | NPI | - | NPPES |
| 1063519510 | Other | IL | LCPC |
| 1457579625 | Other | IL | LCPC |
| 1023020815 | Other | IL | LCPC |
| 1902927791 | Other | IL | LCPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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