Organization · NPI-2

Herstrength05/15

Clinic/Center, Mental Health (Including Community Mental Health Center) · Grayslake, IL

NPI number1942189964
StatusActive
Last updated in NPPESSep 2, 2025

Details

NPI
1942189964
Entity type
Organization (NPI-2)
Legal business name
Herstrength05/15
Organization subpart
Yes
Enumeration date
Sep 2, 2025
Certification date
Sep 2, 2025
Last updated
Sep 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Herstrength05/15, LLC (Doing Business As)
  • Brina Auguste (Doing Business As)

Practice location

107 Thomas Ct
Grayslake, IL 60030-2475

Phone 224-802-1919

Mailing address

107 Thomas Ct
Grayslake, IL 60030-2475

Phone 224-802-1919

Authorized official

Brina Auguste
Lcpc
2248021919

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