Centered Healing Therapy Pllc | |
4800 N Milwaukee Ave Ste 202 Chicago IL 60630-2156 | |
(773) 809-4920 | |
Not Available |
Full Name | Centered Healing Therapy Pllc |
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Speciality | Clinic/Center |
Location | 4800 N Milwaukee Ave Ste 202, Chicago, Illinois |
Authorized Official Name and Position | Sarah Razo (OWNER) |
Authorized Official Contact | 7738094920 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centered Healing Therapy Pllc 4800 N Milwaukee Ave Ste 202 Chicago IL 60630-2156 Ph: (773) 809-4920 | Centered Healing Therapy Pllc 4800 N Milwaukee Ave Ste 202 Chicago IL 60630-2156 Ph: (773) 809-4920 |
NPI Number | 1427737253 |
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Provider Enumeration Date | 07/18/2023 |
Last Update Date | 07/18/2023 |
Certification Date | 07/18/2023 |
Medicare PECOS PAC ID | 7517321177 |
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Medicare Enrollment ID | O20230914002916 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427737253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Sarah Lillian Razo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063059897 PECOS PAC ID: 4284068909 Enrollment ID: I20200106000018 |
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