| Little Fern Therapy Llc | |
|
1400 N Wood Rd Ste 22 Murphysboro IL 62966-6290 | |
| (618) 924-1623 | |
| Not Available |
| Full Name | Little Fern Therapy Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1400 N Wood Rd Ste 22, Murphysboro, Illinois |
| Authorized Official Name and Position | Tali Kasser (SOLE MEMBER) |
| Authorized Official Contact | 6189241623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Fern Therapy Llc 627 S Surrey Ln Carbondale IL 62901-2110 Ph: (618) 924-1623 | Little Fern Therapy Llc 1400 N Wood Rd Ste 22 Murphysboro IL 62966-6290 Ph: (618) 924-1623 |
| NPI Number | 1003704081 |
|---|---|
| Provider Enumeration Date | 06/26/2025 |
| Last Update Date | 06/26/2025 |
| Certification Date | 06/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003704081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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