Organization
EMOTION MANAGEMENT PROGRAM LLC
Active
Other names
Emotion Management Program
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE PAUL HOLMES PSY.D. (MANAGING PARTNER)
(708) 403-7580
Entity
Organization
Contact information
Practice address
1800 RAVINIA PL, ORLAND PARK, IL 60462-3761
(708) 403-7570
(708) 403-7546
Mailing address
PO BOX 747, BLUE ISLAND, IL 60406-0747
(708) 403-7570
(708) 403-7546
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180000522
IL
103TC0700X
Clinical Psychologist
Primary
071005108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634764
BCBSIL PPO
IL
01
—
279826
MAGELLAN
IL
Enumeration date
11/27/2006
Last updated
07/30/2010
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