Organization
GRANTED MENTAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL BERRY (CREDENTIALING MANAGER)
(469) 915-4211
Entity
Organization
Contact information
Practice address
2512 ACHILLES LN, CRYSTAL LAKE, IL 60014-3945
(815) 688-8130
(815) 205-5075
Mailing address
2512 ACHILLES LN, CRYSTAL LAKE, IL 60014-3945
(815) 688-8130
(815) 205-5075
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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