| Herboth Therapy Inc | |
|
477 County Road 100 N Montrose IL 62445-3019 | |
| (217) 259-2827 | |
| (217) 280-4323 |
| Full Name | Herboth Therapy Inc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 477 County Road 100 N, Montrose, Illinois |
| Authorized Official Name and Position | Holly Herboth (OWNER) |
| Authorized Official Contact | 2172592827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herboth Therapy Inc Po Box 453 Teutopolis IL 62467-0453 Ph: (217) 259-2827 | Herboth Therapy Inc 477 County Road 100 N Montrose IL 62445-3019 Ph: (217) 259-2827 |
| NPI Number | 1386203917 |
|---|---|
| Provider Enumeration Date | 06/07/2019 |
| Last Update Date | 06/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386203917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |