Organization Name: | CARRARA-HAY COUNSELING, P.C. |
NPI Number: | 1497134738 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIANNE CARRARA-HAY (PRESIDENT) |
Mailing Address: | 110 S Lombard St Mahomet |
State: | IL US |
Postal Code: | 618539202 |
Phone Number: | 2175869999 |
Fax Number: | 2175900174 |
NPI Enumeration Date: | 05/19/2015 |
NPI Last Update Date: | 05/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 149008892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |