| The Therapy Tree, Llc | |
|
89 Cedar Ave Lake Villa IL 60046-8411 | |
| (847) 265-7300 | |
| (847) 265-7301 |
| Full Name | The Therapy Tree, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 89 Cedar Ave, Lake Villa, Illinois |
| Authorized Official Name and Position | Jennifer Depperschmidt (OFFICE MANAGER) |
| Authorized Official Contact | 8472657300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Therapy Tree, Llc 89 Cedar Ave Lake Villa IL 60046-8411 Ph: (847) 265-7300 | The Therapy Tree, Llc 89 Cedar Ave Lake Villa IL 60046-8411 Ph: (847) 265-7300 |
| NPI Number | 1063955847 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063955847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178012521 (Illinois) | Primary |
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