Grimm, Theresa L.
Grimm, Theresa L. is an sole proprietor health care provider with primary practice located at 1608 W Colonial Pkwy Ste Ll101 , Inverness IL 60067-4755. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Grimm, Theresa L. can be contacted via phone (847) 791-5325.Contact Information
Primary practice address
1608 W Colonial Pkwy Ste Ll101
Inverness IL 60067-4755
Phone: (847) 791-5325
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 180006601 | Illinois |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180006601 | Illinois |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180006601 | Illinois |
Profile Details
NPI number | 1114184660 |
---|---|
LBN Legal business name | Grimm, Theresa L. |
Credentials | M.A., LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 21st, 2008 |
Last updated | Sep 9th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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