| New Leaf Counseling Llc | |
|
1460 Renaissance Dr Suite 211 Park Ridge IL 60068-1331 | |
| (847) 391-4180 | |
| (847) 391-4188 |
| Full Name | New Leaf Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1460 Renaissance Dr, Park Ridge, Illinois |
| Authorized Official Name and Position | Marvin Michael Bornschlegl (OWNER/COUNSELOR) |
| Authorized Official Contact | 8473914180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Counseling Llc 1460 Renaissance Dr Suite 211 Park Ridge IL 60068-1331 Ph: (847) 391-4180 | New Leaf Counseling Llc 1460 Renaissance Dr Suite 211 Park Ridge IL 60068-1331 Ph: (847) 391-4180 |
| NPI Number | 1023257045 |
|---|---|
| Provider Enumeration Date | 02/14/2009 |
| Last Update Date | 02/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023257045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A-6791-0001-A (Illinois) | Primary |
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