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Organization
POSITIVELY PSYCHED, PLLC
Active
Organization
POSITIVELY PSYCHED, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LESTINA (OFFICE ADMINISTRATOR)
(630) 244-2679
Entity
Organization
Contact information
Practice address
17 N CATHERINE AVE, LA GRANGE, IL 60525-5929
(630) 244-2679
Mailing address
17 N CATHERINE AVE, LA GRANGE, IL 60525-5929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942667530
CIGNA/PPO
IL
Enumeration date
10/08/2021
Last updated
12/22/2023
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