| Raices Behavioral Health, Pllc | |
|
909 Norwood St Melrose Park IL 60160-2243 | |
| (331) 643-8164 | |
| Not Available |
| Full Name | Raices Behavioral Health, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 909 Norwood St, Melrose Park, Illinois |
| Authorized Official Name and Position | Irmarie Denise Rios (CEO) |
| Authorized Official Contact | 7088431534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raices Behavioral Health, Pllc 5938 W Fullerton Ave Chicago IL 60639-2241 Ph: (708) 843-1534 | Raices Behavioral Health, Pllc 909 Norwood St Melrose Park IL 60160-2243 Ph: (331) 643-8164 |
| NPI Number | 1497431639 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Medicare PECOS PAC ID | 4183151558 |
|---|---|
| Medicare Enrollment ID | O20241224000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497431639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Irmarie Rios |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033664776 PECOS PAC ID: 3375992308 Enrollment ID: I20240109003399 |
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