Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1760239016 |
| LBN Legal business name | CMBI THERAPY, LLC |
| Authorized official | DAVID WEBER - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/03/2024 |
| Last updated | 05/03/2024 - About 2 years ago |
| Identifiers | n/a |
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