| Southside Counseling Services, Llc | |
|
6825 167th St Ste 4 Tinley Park IL 60477-2501 | |
| (708) 268-4468 | |
| Not Available |
| Full Name | Southside Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6825 167th St Ste 4, Tinley Park, Illinois |
| Authorized Official Name and Position | Kathleen A. Odwyer (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7082684468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Counseling Services, Llc 10809 Lamon Ave Oak Lawn IL 60453-5420 Ph: (708) 268-4468 | Southside Counseling Services, Llc 6825 167th St Ste 4 Tinley Park IL 60477-2501 Ph: (708) 268-4468 |
| NPI Number | 1992560627 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992560627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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