NPI 1003600511

Miracleworks Therapy & Consulting INC

Organisation Mental Health Counselor Chicago, IL

Practice location

Address: 51 E 14th St APT 1008, Chicago, IL 60605-2998
Phone: (310) 849-4786
Fax: (872) 250-2826

Authorised official

Name: Miracle D Montgomery
Title: Licensed Clinical Social Worker
Phone: (310) 849-4786

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Registry record

NPI: 1003600511
Entity type: Organization
NPI issued: 8 Apr 2025
Record last updated: 8 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.