Organization
MIEBACH PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GAGE MIEBACH (OWNER/PSYCHOTHERAPIST)
(217) 366-2003
Entity
Organization
Contact information
Practice address
1806 WOODFIELD DR STE 118, SAVOY, IL 61874-9505
(217) 377-9022
Mailing address
1806 WOODFIELD DR STE 118, SAVOY, IL 61874-9505
(217) 366-2003
(217) 888-2505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
01/30/2026
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