| Scott Therapeutic Services Pllc | |
|
12840 S Ada St Calumet Park IL 60827-6410 | |
| (773) 875-5027 | |
| (773) 875-5027 |
| Full Name | Scott Therapeutic Services Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 12840 S Ada St, Calumet Park, Illinois |
| Authorized Official Name and Position | Leodis Scott (PRESIDENT) |
| Authorized Official Contact | 7738755027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Therapeutic Services Pllc 12840 S Ada St Calumet Park IL 60827-6410 Ph: (773) 875-5027 | Scott Therapeutic Services Pllc 12840 S Ada St Calumet Park IL 60827-6410 Ph: (773) 875-5027 |
| NPI Number | 1134915580 |
|---|---|
| Provider Enumeration Date | 04/15/2025 |
| Last Update Date | 04/15/2025 |
| Certification Date | 04/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134915580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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