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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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