| Matt Domico Lcsw Llc | |
|
5901 N Prospect Rd Ste 105 Peoria IL 61614-4358 | |
| (815) 701-6317 | |
| Not Available |
| Full Name | Matt Domico Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5901 N Prospect Rd Ste 105, Peoria, Illinois |
| Authorized Official Name and Position | Matt Domico (CEO) |
| Authorized Official Contact | 8157016317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matt Domico Lcsw Llc 5901 N Prospect Rd Ste 105 Peoria IL 61614-4358 Ph: (815) 701-6317 | Matt Domico Lcsw Llc 5901 N Prospect Rd Ste 105 Peoria IL 61614-4358 Ph: (815) 701-6317 |
| NPI Number | 1962294629 |
|---|---|
| Provider Enumeration Date | 05/20/2025 |
| Last Update Date | 05/20/2025 |
| Certification Date | 05/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962294629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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