Organization
TRANSMOGRIFY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE T PAGANO MA, LCPC (OWNER/THERAPIST)
(708) 846-0864
Entity
Organization
Contact information
Practice address
23819 W MILL ST, SUITE 6, PLAINFIELD, IL 60544-3457
(708) 846-0864
(815) 327-0214
Mailing address
23819 W MILL ST, SUITE 6, PLAINFIELD, IL 60544-3457
(708) 846-0864
(815) 327-0214
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
180007521
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
180007521
IL
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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