| Heidi Seiden Wodrich Counseling & Consulting, Llc | |
|
314 Greenview Ln Lake Villa IL 60046-6461 | |
| (847) 354-0354 | |
| (847) 265-9331 |
| Full Name | Heidi Seiden Wodrich Counseling & Consulting, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 314 Greenview Ln, Lake Villa, Illinois |
| Authorized Official Name and Position | Heidi Wodrich (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8473540354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Seiden Wodrich Counseling & Consulting, Llc 314 Greenview Ln Lake Villa IL 60046-6461 Ph: (847) 354-0354 | Heidi Seiden Wodrich Counseling & Consulting, Llc 314 Greenview Ln Lake Villa IL 60046-6461 Ph: (847) 354-0354 |
| NPI Number | 1326640491 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Medicare PECOS PAC ID | 2365973419 |
|---|---|
| Medicare Enrollment ID | O20241001001618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326640491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Heidi Kim Wodrich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982029997 PECOS PAC ID: 5395159529 Enrollment ID: I20241001001732 |
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