MIEBACH PSYCHOTHERAPY PLLC NPI 1417746306

NPI Information

  • NPI: 1417746306
  • Provider Name: MIEBACH PSYCHOTHERAPY PLLC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 1806 WOODFIELD DR STE 118
    SAVOY, IL
    ZIP 61874
  • Phone: (217) 377-9022

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NPI Details

MIEBACH PSYCHOTHERAPY PLLC is a counselor in Savoy, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MIEBACH PSYCHOTHERAPY PLLC NPI is 1417746306. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1806 WOODFIELD DR STE 118
SAVOY, IL
ZIP 61874-505
Phone: (217) 377-9022

The provider's authorized official is Thomas Miebach .
The authorized official title is Owner and has the following contact phone number (217) 377-9022.

The enumeration date for this NPI number is 5/6/2025 and was last updated on 5/6/2025.

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
1101Y00000XCounselorYes

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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