| Micah Caldwell Therapy Pllc | |
|
3440 Clinton Ave Berwyn IL 60402-3322 | |
| (708) 695-4841 | |
| Not Available |
| Full Name | Micah Caldwell Therapy Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3440 Clinton Ave, Berwyn, Illinois |
| Authorized Official Name and Position | Micah Caldwell (OWNER/THERAPIST) |
| Authorized Official Contact | 7086954841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Caldwell Therapy Pllc 7301 W 25th St # 130 North Riverside IL 60546-1409 Ph: () - | Micah Caldwell Therapy Pllc 3440 Clinton Ave Berwyn IL 60402-3322 Ph: (708) 695-4841 |
| NPI Number | 1376230656 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376230656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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