Organization
HEAL THYSELF COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA LEWIS (LCPC)
(872) 225-6010
Entity
Organization
Contact information
Practice address
19624 GOVERNORS HWY, FLOSSMOOR, ID 60422
(872) 225-6010
Mailing address
19624 GOVERNORS HWY, FLOSSMOOR, ID 60422
(872) 225-6010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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