| Wounded Healers Counseling Service Llc | |
|
15724 S Route 59 Ste 106 Plainfield IL 60544-2806 | |
| (630) 557-6057 | |
| Not Available |
| Full Name | Wounded Healers Counseling Service Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15724 S Route 59 Ste 106, Plainfield, Illinois |
| Authorized Official Name and Position | Maria T Hernandez (CREDENTIAL SPECIALIST) |
| Authorized Official Contact | 3313005317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wounded Healers Counseling Service Llc 2404 Monterey Dr Plainfield IL 60586-8475 Ph: (630) 723-1006 | Wounded Healers Counseling Service Llc 15724 S Route 59 Ste 106 Plainfield IL 60544-2806 Ph: (630) 557-6057 |
| NPI Number | 1205567260 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 06/29/2022 |
| Certification Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205567260 | NPI | - | NPPES |
| 345923924001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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