| Phases Mental Health Services Pllc | |
|
2722 Cuyler Ave Berwyn IL 60402-2712 | |
| (708) 317-9205 | |
| Not Available |
| Full Name | Phases Mental Health Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2722 Cuyler Ave, Berwyn, Illinois |
| Authorized Official Name and Position | Kimberly Tiscia (OWNER/THERAPIST) |
| Authorized Official Contact | 7083179205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phases Mental Health Services Pllc 2722 Cuyler Ave Berwyn IL 60402-2712 Ph: () - | Phases Mental Health Services Pllc 2722 Cuyler Ave Berwyn IL 60402-2712 Ph: (708) 317-9205 |
| NPI Number | 1083408512 |
|---|---|
| Provider Enumeration Date | 04/08/2025 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083408512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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