| Defining Moments Llc | |
|
2155 Carpenter Ave Plainfield IL 60586-5943 | |
| (816) 909-6586 | |
| Not Available |
| Full Name | Defining Moments Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2155 Carpenter Ave, Plainfield, Illinois |
| Authorized Official Name and Position | Deanne Marie Wolter (CLINICAL MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8159096586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Defining Moments Llc 2155 Carpenter Ave Plainfield IL 60586-5943 Ph: (816) 909-6586 | Defining Moments Llc 2155 Carpenter Ave Plainfield IL 60586-5943 Ph: (816) 909-6586 |
| NPI Number | 1952199374 |
|---|---|
| Provider Enumeration Date | 04/26/2025 |
| Last Update Date | 04/29/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952199374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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