Provider Demographics
NPI:1851178719
Name:STEVEN MESMER & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:STEVEN MESMER & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MESMER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:815-444-9076
Mailing Address - Street 1:190 HOLLOW WAY
Mailing Address - Street 2:
Mailing Address - City:INGLESIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60041-8777
Mailing Address - Country:US
Mailing Address - Phone:815-444-9076
Mailing Address - Fax:815-444-9079
Practice Address - Street 1:900 PYOTT RD STE 102
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-8717
Practice Address - Country:US
Practice Address - Phone:815-444-9076
Practice Address - Fax:815-444-9079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty