Organization
WOODSTOCK THERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY KEISMAN (DIRECTOR)
(815) 236-3272
Entity
Organization
Contact information
Practice address
665 TOLLGATE RD STE B, ELGIN, IL 60123-9353
(815) 236-3272
(844) 734-1259
Mailing address
665 TOLLGATE RD STE B, ELGIN, IL 60123-9353
(815) 236-3272
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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