Organization
ENVISION THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MARIE OLDENBURG LCPC, NCC (OWNER, PSYCHOTHERAPIST)
(847) 922-5031
Entity
Organization
Contact information
Practice address
900 NORTH SHORE DR STE 200, LAKE BLUFF, IL 60044-2225
(847) 922-5031
(847) 234-1191
Mailing address
234 W WASHINGTON AVE, LAKE BLUFF, IL 60044-2036
(847) 922-5031
(847) 234-1191
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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