Healthcare Provider Details

I. General information

NPI: 1972373223
Provider Name (Legal Business Name): GROVE COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 01/08/2024
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 WASHINGTON BLVD APT 202
OAK PARK IL
60302-3750
US

IV. Provider business mailing address

LINDSEY LEMMEN, LCSW 1021 WASHINGTON BLVD APT 202
OAK PARK IL
60302-3750
US

V. Phone/Fax

Practice location:
  • Phone: 616-994-2627
  • Fax:
Mailing address:
  • Phone: 616-994-2627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY LEMMEN
Title or Position: OWNER
Credential: LCSW
Phone: 616-994-2627