| Tk Counseling Pllc | |
|
27475 Ferry Rd Ste 130 Warrenville IL 60555-3808 | |
| (630) 884-1708 | |
| Not Available |
| Full Name | Tk Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 27475 Ferry Rd Ste 130, Warrenville, Illinois |
| Authorized Official Name and Position | Tracy Takeda (MANAGER) |
| Authorized Official Contact | 6308841708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tk Counseling Pllc 27475 Ferry Rd Ste 130 Warrenville IL 60555-3808 Ph: (630) 884-1708 | Tk Counseling Pllc 27475 Ferry Rd Ste 130 Warrenville IL 60555-3808 Ph: (630) 884-1708 |
| NPI Number | 1699504878 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/28/2024 |
| Medicare PECOS PAC ID | 0648797753 |
|---|---|
| Medicare Enrollment ID | O20250512001704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699504878 | NPI | - | NPPES |
| Provider Name | Tracy Takeda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225120900 PECOS PAC ID: 1557888666 Enrollment ID: I20250512001812 |
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