Organization Name: | COUCH CLARITY |
NPI Number: | 1104293422 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA LYNN BERCIER (PRESIDENT) |
Mailing Address: | 217 S Villa Ave Villa Park |
State: | IL US |
Postal Code: | 601812665 |
Phone Number: | 6302809299 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2015 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.011937 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |