| Nephesh Wellness Llc | |
|
700 N. Bruce Ln. Unit 307 Glenwood IL 60425 | |
| (312) 259-3166 | |
| Not Available |
| Full Name | Nephesh Wellness Llc |
|---|---|
| Speciality | Psychologist |
| Location | 700 N. Bruce Ln., Glenwood, Illinois |
| Authorized Official Name and Position | Kimberly S Nelson-arrington (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7082523185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nephesh Wellness Llc 18300 S Halsted St Ste B Glenwood IL 60425-1051 Ph: (708) 252-3185 | Nephesh Wellness Llc 700 N. Bruce Ln. Unit 307 Glenwood IL 60425 Ph: (312) 259-3166 |
| NPI Number | 1447996590 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/07/2025 |
| Certification Date | 05/07/2025 |
| Medicare PECOS PAC ID | 5799226940 |
|---|---|
| Medicare Enrollment ID | O20240916002458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447996590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kimberly S Nelson-arrington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114214020 PECOS PAC ID: 7416498662 Enrollment ID: I20240916002668 |
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