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Personal Wellness And Coaching Pllc
Adolescent and Children Mental Health Clinic/Center in Evergreen Park, Illinois
NPI 1275223455

Personal Wellness And Coaching Pllc is an Adolescent and Children Mental Health Clinic/Center based in Evergreen Park, IL and is specialized in Adolescent and Children Mental Health. Personal Wellness And Coaching Pllc practices in Evergreen Park, IL. The NPI Number for Personal Wellness And Coaching Pllc is 1275223455 and holds a License No. (Illinois).

The current practice location address for Personal Wellness And Coaching Pllc is 9449 S Kedzie Ave Ste 139, Evergreen Park, IL and can be reached out via phone at 708-824-7787.

Location: 9449 S Kedzie Ave Ste 139, Evergreen Park, IL, 60805-2325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275223455
Provider Name
Personal Wellness And Coaching Pllc
Credential
Provider Entity Type
Organization
Address
9449 S Kedzie Ave Ste 139, Evergreen Park, IL, 60805-2325
Phone Number
708-824-7787
Fax Number
Provider Enumeration Date
05/10/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
9449 S Kedzie Ave Ste 139
City
Evergreen Park
State
Illinois
Zip
60805-2325
Phone Number
708-824-7787
Fax Number
person
Provider Business Mailing Address Details
Address
9449 S Kedzie Ave Ste 139
City
Evergreen Park
State
Illinois
Zip
60805-2325
Phone Number
708-824-7787
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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