| Mental Health Savage Llc | |
|
2151 W White Oaks Dr Ste D Springfield IL 62704-6410 | |
| (305) 896-0729 | |
| Not Available |
| Full Name | Mental Health Savage Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2151 W White Oaks Dr Ste D, Springfield, Illinois |
| Authorized Official Name and Position | Oluwatamilore Odimayo (CLINICAL COUNSELOR) |
| Authorized Official Contact | 3058960729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Savage Llc 7011 Preston Dr Springfield IL 62711-4310 Ph: (305) 896-0729 | Mental Health Savage Llc 2151 W White Oaks Dr Ste D Springfield IL 62704-6410 Ph: (305) 896-0729 |
| NPI Number | 1790430809 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790430809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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