| Real Life Counseling, Pllc | |
|
360 Memorial Dr Crystal Lake IL 60014-6291 | |
| (847) 754-7398 | |
| Not Available |
| Full Name | Real Life Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 360 Memorial Dr, Crystal Lake, Illinois |
| Authorized Official Name and Position | Jeanne Coulson (OWNER) |
| Authorized Official Contact | 8477547398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Life Counseling, Pllc 638 Vine St Hampshire IL 60140-5620 Ph: (847) 754-7398 | Real Life Counseling, Pllc 360 Memorial Dr Crystal Lake IL 60014-6291 Ph: (847) 754-7398 |
| NPI Number | 1558936773 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Medicare PECOS PAC ID | 0941642557 |
|---|---|
| Medicare Enrollment ID | O20240529000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558936773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jeanne Coulson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972959377 PECOS PAC ID: 5092157602 Enrollment ID: I20240529000860 |
Bennett & Bennett Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 Route 176, Crystal Lake, IL 60014 Phone: 815-477-4003 | |
Good Life Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 N Virginia St Ste 120, Crystal Lake, IL 60014 Phone: 815-893-9544 | |
Beyond Play Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 Nunda Trl, Crystal Lake, IL 60012 Phone: 224-201-8769 Fax: 224-324-8549 | |
Rebecca Ciesla, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Dakota St Ste B-101, Crystal Lake, IL 60012 Phone: 815-446-1960 | |
Crystal Lake Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Crystal Point Dr Ste 2, Crystal Lake, IL 60014 Phone: 815-893-9839 | |
Douglas N Neal & Associates Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Heritage Drive, Crystal Lake, IL 60014 Phone: 815-477-4727 Fax: 815-356-8779 | |
Edwin V. Gumapas M.d. Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 44 N Virginia St, Suite 2b, Crystal Lake, IL 60014 Phone: 815-356-0475 Fax: 815-356-0796 |