Organization
THE MOMENT THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLY MATHES (LCSW)
(847) 707-3308
Entity
Organization
Contact information
Practice address
1623 N WESTERN AVE, CHICAGO, IL 60647-5321
(847) 707-3308
Mailing address
2314 W WABANSIA AVE APT 2E, CHICAGO, IL 60647-6487
(847) 707-3308
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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