| Leap Of Faith Wellness Llc | |
|
3663 W Church Rd Beecher IL 60401-3501 | |
| (773) 598-4532 | |
| Not Available |
| Full Name | Leap Of Faith Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 3663 W Church Rd, Beecher, Illinois |
| Authorized Official Name and Position | Kristen Marie Scott (FOUNDER, EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7735984532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leap Of Faith Wellness Llc 3663 W Church Rd Beecher IL 60401-3501 Ph: (773) 598-4532 | Leap Of Faith Wellness Llc 3663 W Church Rd Beecher IL 60401-3501 Ph: (773) 598-4532 |
| NPI Number | 1922666502 |
|---|---|
| Provider Enumeration Date | 05/30/2019 |
| Last Update Date | 05/30/2019 |
| Medicare PECOS PAC ID | 3971049438 |
|---|---|
| Medicare Enrollment ID | O20240722001060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922666502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kristen Marie Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043634587 PECOS PAC ID: 6608312160 Enrollment ID: I20240722001119 |
| Provider Name | Robyn Marie Caravello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326681388 PECOS PAC ID: 7618495037 Enrollment ID: I20250519002542 |
Mind Over Matter Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27240 Dutton Rd, Beecher, IL 60401 Phone: 219-384-5357 |