OrganizationBrainheart Therapy Services PllcCounselorBehavioral Health & Social Service ProvidersPractice Address2501 Chatham Rd Ste 8199, Springfield, IL 62704-4188(312) 883-4860PECOS EnrollmentBased on the most recent information from CMS, provider Brainheart Therapy Services Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1184485815Provider TypeOrganizationFull NameBrainheart Therapy Services PllcSubpartNoEnumeration Date1/19/2024Last Updated1/21/2024Contact InformationPractice LocationPractice Address2501 Chatham Rd Ste 8199, Springfield, IL 62704-4188Phone(312) 883-4860FaxUnlisted FaxMailing LocationMailing Address2501 Chatham Rd Ste 8199, Springfield, IL 62704-4188PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameRodriguez, Zechariah (Owner)Phone(312) 883-4860Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode261QM0801XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer