Provider Demographics
NPI:1215507827
Name:GET PSYCHED WELLNESS PLLC
Entity type:Organization
Organization Name:GET PSYCHED WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOBER
Authorized Official - Suffix:
Authorized Official - Credentials:MA LCPC
Authorized Official - Phone:419-234-2620
Mailing Address - Street 1:1049 WILMETTE TER
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-2163
Mailing Address - Country:US
Mailing Address - Phone:773-706-1197
Mailing Address - Fax:
Practice Address - Street 1:1049 WILMETTE TER
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-2163
Practice Address - Country:US
Practice Address - Phone:773-706-1197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-26
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty