Organization
TOTAL ENRICHMENT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORA LEE MONTOGOMERY M.S. (PRESIDENT/CEO)
(773) 403-1162
Entity
Organization
Contact information
Practice address
3335 W WASHINGTON BLVD, CHICAGO, IL 60624
(773) 403-1162
Mailing address
3335 W WASHINGTON BLVD, CHICAGO, IL 60624-2454
(773) 403-1162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
225C00000X
Rehabilitation Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IL
Other
Enumeration date
01/16/2015
Last updated
04/19/2021
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