| Light Side Therapy Llc | |
|
1845 E Rand Rd Ste L109 Arlington Heights IL 60004-4375 | |
| (773) 490-8863 | |
| Not Available |
| Full Name | Light Side Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1845 E Rand Rd Ste L109, Arlington Heights, Illinois |
| Authorized Official Name and Position | Carol Regenhardt (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 7734908863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Side Therapy Llc 1845 E Rand Rd Ste L109 Arlington Heights IL 60004-4375 Ph: (773) 490-8863 | Light Side Therapy Llc 1845 E Rand Rd Ste L109 Arlington Heights IL 60004-4375 Ph: (773) 490-8863 |
| NPI Number | 1003537341 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003537341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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