| Imago Dei Mental Wellness, Llc | |
|
22561 Pleasant Dr Apt 19 Richton Park IL 60471-1727 | |
| (773) 969-6119 | |
| Not Available |
| Full Name | Imago Dei Mental Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 22561 Pleasant Dr Apt 19, Richton Park, Illinois |
| Authorized Official Name and Position | Sharon Holmes (OWNER) |
| Authorized Official Contact | 7739696119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imago Dei Mental Wellness, Llc 22561 Pleasant Dr Apt 19 Richton Park IL 60471-1727 Ph: (773) 969-6119 | Imago Dei Mental Wellness, Llc 22561 Pleasant Dr Apt 19 Richton Park IL 60471-1727 Ph: (773) 969-6119 |
| NPI Number | 1619864543 |
|---|---|
| Provider Enumeration Date | 06/23/2025 |
| Last Update Date | 06/23/2025 |
| Certification Date | 06/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619864543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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