| Clear Springs Therapy Pllc | |
|
4210 Ella Ln Johnsburg IL 60051-5433 | |
| (815) 995-0306 | |
| Not Available |
| Full Name | Clear Springs Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4210 Ella Ln, Johnsburg, Illinois |
| Authorized Official Name and Position | Michael Blea (OWNER) |
| Authorized Official Contact | 8159950306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Springs Therapy Pllc 4210 Ella Ln Johnsburg IL 60051-5433 Ph: (815) 995-0306 | Clear Springs Therapy Pllc 4210 Ella Ln Johnsburg IL 60051-5433 Ph: (815) 995-0306 |
| NPI Number | 1902654916 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 4688110158 |
|---|---|
| Medicare Enrollment ID | O20240719002453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902654916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michael Blea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457030165 PECOS PAC ID: 0244672194 Enrollment ID: I20240523003490 |
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