| Self Connected Therapy Llc | |
|
2189 N. Rt. 83 #292 Round Lake Beach IL 60073 | |
| (847) 942-7849 | |
| Not Available |
| Full Name | Self Connected Therapy Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2189 N. Rt. 83, Round Lake Beach, Illinois |
| Authorized Official Name and Position | Ashley Grob (THERAPIST) |
| Authorized Official Contact | 8479427849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Connected Therapy Llc 2189 N. Rt. 83 #292 Round Lake Beach IL 60073 Ph: (847) 942-7849 | Self Connected Therapy Llc 2189 N. Rt. 83 #292 Round Lake Beach IL 60073 Ph: (847) 942-7849 |
| NPI Number | 1013521301 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 09/03/2020 |
| Certification Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013521301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Lake County Crisis Center For The Prevention And Treatment Of Domestic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 E Rollins Rd Ste 106, Round Lake Beach, IL 60073 Phone: 847-731-7165 |