Organization
BIOFEEDBACK & FAMILY THERAPY LLC
Active
Other names
Family Life Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A MAHAN PHD (OWNER)
(630) 913-1627
Entity
Organization
Contact information
Practice address
231 S WASHINGTON ST, SUITE 201, NAPERVILLE, IL 60540-4656
(630) 913-3239
(630) 332-8151
Mailing address
231 S WASHINGTON ST, SUITE 201, NAPERVILLE, IL 60540-4656
(630) 913-3239
(630) 332-8151
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000634
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002232702
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/23/2007
Last updated
01/13/2015
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