NPI 1952497935 · live from the CMS NPI Registry
Brandt Therapy Clinics, INC.
Marriage & Family Therapist in Bloomingdale, IL. National Provider Identifier 1952497935, active.
NPI record
| NPI | 1952497935 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 125 E Lake St, Suite 106, Bloomingdale, IL 60108 |
| Practice phone | 630-307-3782 |
| Mailing address | 889 Asbury Ln, Schaumburg, IL 60193 |
| Enumerated | October 5, 2006 |
| Last updated | October 14, 2008 |
| Authorized official | Sara Brandt, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | 180.006083 (IL) |
| Social Worker, Clinical | 1041C0700X | — (IL) |
| Marriage & Family Therapist primary | 106H00000X | 166000532 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.