| Shoreline Therapy Pllc | |
|
3 Carraway Ct Bloomington IL 61704-2313 | |
| (217) 439-4255 | |
| Not Available |
| Full Name | Shoreline Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3 Carraway Ct, Bloomington, Illinois |
| Authorized Official Name and Position | Megan Murphy (FOUNDER/MANAGER) |
| Authorized Official Contact | 7086010330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Therapy Pllc 2005 N Prospect Ave # 1125 Champaign IL 61822-1235 Ph: (217) 439-4255 | Shoreline Therapy Pllc 3 Carraway Ct Bloomington IL 61704-2313 Ph: (217) 439-4255 |
| NPI Number | 1457052508 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457052508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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