| Fruit Belt Consulting Llc | |
|
14804 Old Galena Trl Mount Carroll IL 61053-9037 | |
| (269) 283-0014 | |
| Not Available |
| Full Name | Fruit Belt Consulting Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14804 Old Galena Trl, Mount Carroll, Illinois |
| Authorized Official Name and Position | Baylie Roth (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6307502674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fruit Belt Consulting Llc 2045 Grand Ave Ste B #952962 Chicago IL 60612-1577 Ph: (269) 283-0014 | Fruit Belt Consulting Llc 14804 Old Galena Trl Mount Carroll IL 61053-9037 Ph: (269) 283-0014 |
| NPI Number | 1134920481 |
|---|---|
| Provider Enumeration Date | 03/22/2025 |
| Last Update Date | 03/22/2025 |
| Certification Date | 03/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134920481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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Sinnissippi Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 Healthcare Dr, Mount Carroll, IL 61053 Phone: 815-244-1376 Fax: 815-244-3074 | |
Sinnissippi Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 Healthcare Dr, Mount Carroll, IL 61053 Phone: 815-244-1376 Fax: 815-244-3074 |