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NPI Code Detail

MEDICARE: PSYCWARD SERVICES PLLC

MEDICARE: PSYCWARD SERVICES PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215786199
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSYCWARD SERVICES PLLC
Provider Business Mailing Address
First Line : 69 W BAILEY RD
Second Line :
City : NAPERVILLE
State : IL
Zip : 60565-2346
Country : US
Telephone Number : 630-999-8404
Fax Number :
Provider Business Practice Location Address
First Line : 69 W BAILEY RD
Second Line :
City : NAPERVILLE
State : IL
Zip : 60565-2346
Country : US
Telephone Number : 630-999-8404
Fax Number : 630-982-1082
Authorized Official
Title or Position : OWNER
Name : ERIC ALAN WARD
Credential :
Telephone Number : 630-999-8404
Provider Enumeration Date : 05/14/2024
Last Update Date : 04/16/2026

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Directions to “PSYCWARD SERVICES PLLC ” Practice Location

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