| Diving Bell Therapy Pllc | |
|
10310 W Fairbanks Ave Beach Park IL 60099-3704 | |
| (224) 433-7568 | |
| Not Available |
| Full Name | Diving Bell Therapy Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10310 W Fairbanks Ave, Beach Park, Illinois |
| Authorized Official Name and Position | Samantha Lindtner (OWNER/THERAPIST) |
| Authorized Official Contact | 2244337568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diving Bell Therapy Pllc 2501 Chatham Rd Ste R Springfield IL 62704-4188 Ph: () - | Diving Bell Therapy Pllc 10310 W Fairbanks Ave Beach Park IL 60099-3704 Ph: (224) 433-7568 |
| NPI Number | 1558182485 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558182485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
The Impact Of Therapy L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 W York House Rd, Beach Park, IL 60087 Phone: 847-323-6213 |