| Live Out Loud Counseling Services Pllc | |
|
830 E Higgins Rd Ste 104h Schaumburg IL 60173-4792 | |
| (708) 825-6037 | |
| (708) 515-4471 |
| Full Name | Live Out Loud Counseling Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 830 E Higgins Rd Ste 104h, Schaumburg, Illinois |
| Authorized Official Name and Position | Dawn Whetstine (OWNER) |
| Authorized Official Contact | 7088256037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Out Loud Counseling Services Pllc 830 E Higgins Rd Ste 104h Schaumburg IL 60173-4792 Ph: (708) 825-6037 | Live Out Loud Counseling Services Pllc 830 E Higgins Rd Ste 104h Schaumburg IL 60173-4792 Ph: (708) 825-6037 |
| NPI Number | 1497361315 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Medicare PECOS PAC ID | 4981015989 |
|---|---|
| Medicare Enrollment ID | O20201124000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497361315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dawn Louise Whetstine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699856575 PECOS PAC ID: 9436423894 Enrollment ID: I20170922002784 |
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