Organization
ELEVATED MIND COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERRON ROGERS PHD, LCPC (CO-OWNER/CLINICAL THERAPIST)
(630) 418-8918
Entity
Organization
Contact information
Practice address
3333 WARRENVILLE RD STE 200215, LISLE, IL 60532-1157
(630) 418-8918
Mailing address
3391 HELENE RIEDER DR, MONTGOMERY, IL 60538-6025
(859) 227-7189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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