| Blue Iris Therapy, Pllc | |
|
915 Mapleton Ave Oak Park IL 60302 | |
| (708) 665-5252 | |
| Not Available |
| Full Name | Blue Iris Therapy, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 915 Mapleton Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Alyson Woody (CLINICAL THERAPIST) |
| Authorized Official Contact | 7086655252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Iris Therapy, Pllc 7061 North Ave # 516 Oak Park IL 60302-1015 Ph: (708) 665-5252 | Blue Iris Therapy, Pllc 915 Mapleton Ave Oak Park IL 60302 Ph: (708) 665-5252 |
| NPI Number | 1528712494 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528712494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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