Organization · NPI-2
4s Wellness Services
Psychologist, Group Psychotherapy · Park Forest, IL
NPI number1487324083
StatusActive
Last updated in NPPESSep 15, 2021
Details
- NPI
- 1487324083
- Entity type
- Organization (NPI-2)
- Legal business name
- 4s Wellness Services
- Organization subpart
- No
- Enumeration date
- Sep 15, 2021
- Certification date
- Sep 15, 2021
- Last updated
- Sep 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TP2701X | Psychologist, Group Psychotherapy | – | – | Yes |
Practice location
305 Wayne StPark Forest, IL 60466-1327
Phone 708-466-8853 · Fax 708-367-9980
Mailing address
305 Wayne StPark Forest, IL 60466-1327
Phone 708-466-8853 · Fax 708-367-9980
Other practice locations
305 Wayne St
Park Forest, IL 60466-1327
Park Forest, IL 60466-1327
Phone 708-466-8853 · Fax 708-367-9980
Authorized official
Marlayna Antionette Warren
Ceo
7084668853
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