MEDICARE: HOLD THE VISION THERAPY

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
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1912577503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLD THE VISION THERAPY

Provider Business Mailing Address
First Line	:	1 E ERIE ST STE 525-4038
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2740
Country	:	US
Telephone Number	:	312-626-4945
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 E ERIE ST STE 525-4038
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2740
Country	:	US
Telephone Number	:	312-626-4945
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	RACHEL D. MILLER
Credential	:	LMFT
Telephone Number	:	219-775-0678

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	06/28/2021

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Directions to “HOLD THE VISION THERAPY ” Practice Location

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