Ms Ebony Waller, LMFT, RPT, PHD - Couples Therapy in Cherry Valley, IL

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Ms Ebony Waller, LMFT, RPT, PHD is a Marriage & Family Therapist based in Cherry Valley, Illinois. Ms Ebony Waller is licensed to practice in Illinois (license number 166.001541) and her current practice location is 7572 N Cherryvale Blvd Apt 204, Cherry Valley, Illinois. She can be reached at her office (for appointments etc.) via phone at (702) 572-8535.

NPI number for Ms Ebony Waller is 1982431094 and her current mailing address is 7572 N Cherryvale Blvd Apt 204, Cherry Valley, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982431094.

Contact Information

Ms Ebony Waller, LMFT, RPT, PHD
7572 N Cherryvale Blvd Apt 204,
Cherry Valley, IL 61016-9305
(702) 572-8535
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Ebony Waller
GenderFemale
SpecialityMarriage & Family Therapist
Location7572 N Cherryvale Blvd Apt 204, Cherry Valley, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982431094
  • Provider Enumeration Date: 09/14/2024
  • Last Update Date: 09/14/2024

Medical Identifiers

Medical identifiers for Ms Ebony Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982431094NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 166.001541 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Ebony Waller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Ebony Waller, LMFT, RPT, PHD
7572 N Cherryvale Blvd Apt 204,
Cherry Valley, IL 61016-9305

Ph: (702) 572-8535		Ms Ebony Waller, LMFT, RPT, PHD
7572 N Cherryvale Blvd Apt 204,
Cherry Valley, IL 61016-9305

Ph: (702) 572-8535

Reviews and Comments


Marriage & Family Therapist in Cherry Valley, IL


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