Evergrace Therapy Llc

LBN: Evergrace Therapy Llc
Evergrace Therapy Llc is an health care organization with primary practice located at 10104 S Utica Ave , Evergreen Park IL 60805-3527. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Evergrace Therapy Llc can be contacted via phone (304) 280-6360, or through Vazquez, Samantha M via phone (304) 280-6360.

Contact Information

Primary practice address
10104 S Utica Ave Evergreen Park IL 60805-3527
Phone: (304) 280-6360
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vazquez, Samantha M LCPC
Phone: (304) 280-6360

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1164292645
LBN Legal business name Evergrace Therapy Llc
DBA Doing business as
Authorized official Vazquez, Samantha M LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2024
Last updated Jan 4th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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