Organization
MENDING HEARTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L LOUGHRAN LCSW (LCSW)
(630) 309-0926
Entity
Organization
Contact information
Practice address
815 S LAURA LN, DIAMOND, IL 60416-9314
(630) 309-0926
Mailing address
815 S LAURA LN, DIAMOND, IL 60416-9314
(630) 309-0926
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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