| Clay Therapeutic Services | |
|
1325 Remington Rd Ste O Schaumburg IL 60173-4815 | |
| (224) 633-9323 | |
| (224) 512-4914 |
| Full Name | Clay Therapeutic Services |
|---|---|
| Speciality | Counselor |
| Location | 1325 Remington Rd Ste O, Schaumburg, Illinois |
| Authorized Official Name and Position | Katherine Juozaitis (MANAGER) |
| Authorized Official Contact | 8153251411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Therapeutic Services 1325 Remington Rd Ste O Schaumburg IL 60173-4815 Ph: (224) 633-9323 | Clay Therapeutic Services 1325 Remington Rd Ste O Schaumburg IL 60173-4815 Ph: (224) 633-9323 |
| NPI Number | 1982148334 |
|---|---|
| Provider Enumeration Date | 12/05/2016 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Medicare PECOS PAC ID | 7911437504 |
|---|---|
| Medicare Enrollment ID | O20250212000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982148334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180006912 (Illinois) | Primary |
| Provider Name | Katherine Juozaitis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285802835 PECOS PAC ID: 3375073968 Enrollment ID: I20250212002333 |
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