| Elevation Individual And Family Therapy Pllc | |
|
19150 Kedzie Ave Ste 201 Homewood IL 60430-4541 | |
| (708) 300-8864 | |
| (779) 201-9643 |
| Full Name | Elevation Individual And Family Therapy Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 19150 Kedzie Ave Ste 201, Homewood, Illinois |
| Authorized Official Name and Position | Tionna Harris (CEO/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 Pllc 19150 Kedzie Ave Ste 201 Homewood IL 60430-4541 Ph: (708) 300-8864 | Elevation Individual And Family Therapy Pllc 19150 Kedzie Ave Ste 201 Homewood IL 60430-4541 Ph: (708) 300-8864 |
| NPI Number | 1770270597 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770270597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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