| Elevation Individual And Family Therapy, Llc | |
|
19150 Kedzie Ave Ste 201 Homewood IL 60430-4541 | |
| (708) 513-8170 | |
| Not Available |
| Full Name | Elevation Individual And Family Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19150 Kedzie Ave Ste 201, Homewood, Illinois |
| Authorized Official Name and Position | Tionna Harris (OWNER) |
| Authorized Official Contact | 7085138170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevation Individual And Family Therapy, Llc 19150 Kedzie Ave Ste 201 Homewood IL 60430-4541 Ph: (708) 513-8170 | Elevation Individual And Family Therapy, Llc 19150 Kedzie Ave Ste 201 Homewood IL 60430-4541 Ph: (708) 513-8170 |
| NPI Number | 1760091235 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 04/19/2023 |
| Certification Date | 04/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760091235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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