| Monique Ls Counseling Llc | |
|
4350 211th St Ste 210a Matteson IL 60443-3082 | |
| (708) 980-8622 | |
| Not Available |
| Full Name | Monique Ls Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4350 211th St Ste 210a, Matteson, Illinois |
| Authorized Official Name and Position | Monique Simmons (CLINICIAN) |
| Authorized Official Contact | 7089986982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monique Ls Counseling Llc 872 Greenbriar Ln University Park IL 60484-2807 Ph: (708) 998-6982 | Monique Ls Counseling Llc 4350 211th St Ste 210a Matteson IL 60443-3082 Ph: (708) 980-8622 |
| NPI Number | 1669256947 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/19/2023 |
| Medicare PECOS PAC ID | 1254785306 |
|---|---|
| Medicare Enrollment ID | O20230925000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669256947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Monique Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831789346 PECOS PAC ID: 2163876210 Enrollment ID: I20230925000663 |
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