| Abundance Therapy Llc | |
|
1555 Naperville Wheaton Rd Ste 209f Naperville IL 60563-1558 | |
| (630) 283-8111 | |
| Not Available |
| Full Name | Abundance Therapy Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1555 Naperville Wheaton Rd Ste 209f, Naperville, Illinois |
| Authorized Official Name and Position | Tao Liu (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6308776668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundance Therapy Llc 5s644 Vest Ave Naperville IL 60563-3360 Ph: (630) 877-6668 | Abundance Therapy Llc 1555 Naperville Wheaton Rd Ste 209f Naperville IL 60563-1558 Ph: (630) 283-8111 |
| NPI Number | 1770253205 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Medicare PECOS PAC ID | 9032509070 |
|---|---|
| Medicare Enrollment ID | O20211206001013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770253205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Tao Liu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154557510 PECOS PAC ID: 7113322652 Enrollment ID: I20210823001268 |
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