Organization
SHORE THERAPY CENTER FOR WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORRIE A. GOLDBERG PH.D. (OWNER)
(847) 558-1546
Entity
Organization
Contact information
Practice address
1189 WILMETTE AVE # 174, WILMETTE, IL 60091-2719
(847) 558-1546
(847) 787-1868
Mailing address
1006 MARION AVE, HIGHLAND PARK, IL 60035-5130
(630) 362-0129
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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