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Organization
ELEVATED GROUPS COUNSELING LLC
Active
Organization
ELEVATED GROUPS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED TARAWNEH (OWNER)
(708) 647-3333
Entity
Organization
Contact information
Practice address
10436 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-2282
(708) 444-0304
Mailing address
10436 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-2282
(708) 444-0304
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/08/2019
Last updated
08/28/2020
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