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Organization
TALBULARASA WELLNESS CENTER LLC
Active
Organization
TALBULARASA WELLNESS CENTER LLC
Active
Other names
Kimerly Barkus
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMERLY BARKUS LCPC, CADC (LICENSED THERAPIST/OWNER)
(224) 430-8109
Entity
Organization
Contact information
Practice address
2255 N GREENBAY RD, WAUKEGAN, IL 60087-6008
(224) 430-8109
Mailing address
PO BOX 122, GURNEE, IL 60031-0122
(224) 430-8109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/15/2021
Last updated
07/15/2021
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