| Briggs Therapy Group, Llc | |
|
2 W Talcott Rd Ste 26 Park Ridge IL 60068-5559 | |
| (847) 858-7277 | |
| (855) 787-3065 |
| Full Name | Briggs Therapy Group, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2 W Talcott Rd Ste 26, Park Ridge, Illinois |
| Authorized Official Name and Position | David E. Briggs (OWNER/THERAPIST) |
| Authorized Official Contact | 8478587277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Briggs Therapy Group, Llc 2 W Talcott Rd Ste 26 Park Ridge IL 60068-5559 Ph: (847) 858-7277 | Briggs Therapy Group, Llc 2 W Talcott Rd Ste 26 Park Ridge IL 60068-5559 Ph: (847) 858-7277 |
| NPI Number | 1912411893 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 09/07/2021 |
| Certification Date | 09/07/2021 |
| Medicare PECOS PAC ID | 2365853793 |
|---|---|
| Medicare Enrollment ID | O20201116001895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912411893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.008841 (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | 149.020545 (Illinois) | Secondary |
| Provider Name | Jennifer F. Briggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659885531 PECOS PAC ID: 8426469859 Enrollment ID: I20201116002105 |
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