Organization
290 THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRA STEVERSON LCPC (COUNSELOR)
(309) 490-4853
Entity
Organization
Contact information
Practice address
811 GREENBAY AVE, CALUMET CITY, IL 60409-4424
(309) 490-4853
Mailing address
18141 DIXIE HWY STE 202, HOMEWOOD, IL 60430-2243
(309) 490-4853
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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