T'MIA PATRICK MA LLC NPI 1073480893

NPI Information

  • NPI: 1073480893
  • Provider Name: T'MIA PATRICK, MA, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2041 175TH ST
    HOMEWOOD, IL
    ZIP 60430
  • Phone: (802) 662-3838

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NPI Details

T'MIA PATRICK, MA, LLC is a mental health counselor in Homewood, IL. T'MIA PATRICK, MA, LLC NPI is 1073480893. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2041 175TH ST
HOMEWOOD, IL
ZIP 60430-001
Phone: (802) 662-3838
Fax: (802) 662-3839

The provider's authorized official is T'mia Patrick .
The authorized official title is Rostered Psychotherapist and has the following contact phone number (802) 662-3838.

The enumeration date for this NPI number is 10/17/2025 and was last updated on 10/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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