MEDICARE: TRUE HEIGHTS TREATMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1578059358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE HEIGHTS TREATMENT LLC

Provider Business Mailing Address
First Line	:	222 VOLLMER RD
Second Line	:
City	:	CHICAGO HEIGHTS
State	:	IL
Zip	:	60411-1664
Country	:	US
Telephone Number	:	708-769-5015
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 VOLLMER RD
Second Line	:
City	:	CHICAGO HEIGHTS
State	:	IL
Zip	:	60411-1664
Country	:	US
Telephone Number	:	708-769-5015
Fax Number	:

Authorized Official
Title or Position	:	OWNER/COUNSELOR
Name	:	GEORGE BRASSEA
Credential	:	MA, LCPC
Telephone Number	:	708-769-5015

Provider Enumeration Date	:	07/05/2018
Last Update Date	:	03/06/2024

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