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Organization

YOUTH & FAMILY COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANELLE MILLER MORAVEK (EXECUTIVE DIRECTOR)
(847) 748-0375
Entity
Organization

Contact information

Practice address
2 E ROLLINS RD STE 203, ROUND LAKE BEACH, IL 60073-3809
(847) 367-5991
(847) 996-1511
Mailing address
1113 S MILWAUKEE AVE STE 104, LIBERTYVILLE, IL 60048-3759
(847) 367-5991

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
06/27/2023
Last updated
02/28/2025
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