Herboth Therapy Inc | |
477 County Road 100 N Montrose IL 62445-3019 | |
(217) 259-2827 | |
(217) 280-4323 |
Full Name | Herboth Therapy Inc |
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Speciality | Early Intervention Provider Agency |
Location | 477 County Road 100 N, Montrose, Illinois |
Authorized Official Name and Position | Holly Herboth (OWNER) |
Authorized Official Contact | 2172592827 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Herboth Therapy Inc Po Box 453 Teutopolis IL 62467-0453 Ph: (217) 259-2827 | Herboth Therapy Inc 477 County Road 100 N Montrose IL 62445-3019 Ph: (217) 259-2827 |
NPI Number | 1386203917 |
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Provider Enumeration Date | 06/07/2019 |
Last Update Date | 06/07/2019 |
Identifier | Type | State | Issuer |
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1386203917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |