Organization
TRU DIVINE COUNSELING & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIA NEWBERN (SOLE MEMBER)
(630) 276-8872
Entity
Organization
Contact information
Practice address
118 WILSON ST, PARK FOREST, IL 60466-1365
(630) 276-8872
Mailing address
118 WILSON ST, PARK FOREST, IL 60466-1365
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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