| Success Center Institute | |
|
2755 Bernice Rd Lansing IL 60438-1040 | |
| (708) 474-7601 | |
| (708) 474-7615 |
| Full Name | Success Center Institute |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2755 Bernice Rd, Lansing, Illinois |
| Authorized Official Name and Position | Kelly Anoe (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7084747601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Success Center Institute 2755 Bernice Rd Lansing IL 60438-1040 Ph: (708) 474-7601 | Success Center Institute 2755 Bernice Rd Lansing IL 60438-1040 Ph: (708) 474-7601 |
| NPI Number | 1700086477 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 07/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700086477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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