| Calmly Centered Therapy, Pllc | |
|
3809 Magnolia Dr Spring Grove IL 60081-8631 | |
| (612) 741-1178 | |
| Not Available |
| Full Name | Calmly Centered Therapy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3809 Magnolia Dr, Spring Grove, Illinois |
| Authorized Official Name and Position | Audrey Elizabeth Damore (BUSINESS OWNER AND THERAPIST) |
| Authorized Official Contact | 6127411178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calmly Centered Therapy, Pllc 3809 Magnolia Dr Spring Grove IL 60081-8631 Ph: (612) 741-1178 | Calmly Centered Therapy, Pllc 3809 Magnolia Dr Spring Grove IL 60081-8631 Ph: (612) 741-1178 |
| NPI Number | 1558030148 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 09/08/2021 |
| Certification Date | 09/08/2021 |
| Medicare PECOS PAC ID | 7618375783 |
|---|---|
| Medicare Enrollment ID | O20211005001213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558030148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Audrey Damore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588056766 PECOS PAC ID: 5092062281 Enrollment ID: I20211007001152 |
Spring Grove Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2440 Westward Dr, Spring Grove, IL 60081 Phone: 847-445-9126 |