| Herstrength05/15 | |
|
107 Thomas Ct Grayslake IL 60030-2475 | |
| (224) 802-1919 | |
| Not Available |
| Full Name | Herstrength05/15 |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 107 Thomas Ct, Grayslake, Illinois |
| Authorized Official Name and Position | Brina Auguste (LCPC) |
| Authorized Official Contact | 2248021919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herstrength05/15 107 Thomas Ct Grayslake IL 60030-2475 Ph: (224) 802-1919 | Herstrength05/15 107 Thomas Ct Grayslake IL 60030-2475 Ph: (224) 802-1919 |
| NPI Number | 1942189964 |
|---|---|
| Provider Enumeration Date | 09/02/2025 |
| Last Update Date | 09/02/2025 |
| Certification Date | 09/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942189964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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