Organization
EMPOWERED ALLIANCE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STARLENE M KELLEY LCSW, CADC (CEO)
(312) 857-8282
Entity
Organization
Contact information
Practice address
143 FIRST ST, SUITE 202, BATAVIA, IL 60510-3101
(312) 857-8282
(630) 897-8002
Mailing address
143 FIRST ST, SUITE 202, BATAVIA, IL 60510-3101
(312) 857-8282
(630) 897-8002
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
40723917
IL
Other
Enumeration date
04/11/2012
Last updated
04/18/2012
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