Metamorph Therapy Pllc | |
2334 W Lawrence Ave Ste 217 Chicago IL 60625-1032 | |
(773) 492-0661 | |
Not Available |
Full Name | Metamorph Therapy Pllc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 2334 W Lawrence Ave Ste 217, Chicago, Illinois |
Authorized Official Name and Position | Amanda Cutting (CEO) |
Authorized Official Contact | 7734951844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Metamorph Therapy Pllc 1934 N Washtenaw Ave Apt 316 Chicago IL 60647-7137 Ph: (773) 495-1844 | Metamorph Therapy Pllc 2334 W Lawrence Ave Ste 217 Chicago IL 60625-1032 Ph: (773) 492-0661 |
NPI Number | 1790548337 |
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Provider Enumeration Date | 02/06/2024 |
Last Update Date | 02/06/2024 |
Certification Date | 02/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790548337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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