Healthcare Provider Details

I. General information

NPI: 1861122152
Provider Name (Legal Business Name): CAUGHT DREAMIN' THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2022
Last Update Date: 01/03/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 W WASHINGTON ST STE B
MARQUETTE MI
49855-4031
US

IV. Provider business mailing address

1025 W WASHINGTON ST STE B
MARQUETTE MI
49855-4031
US

V. Phone/Fax

Practice location:
  • Phone: 906-869-4424
  • Fax: 906-639-6334
Mailing address:
  • Phone: 906-256-2951
  • Fax: 906-629-6334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOANNE C. GARROW
Title or Position: OWNER/THERAPIST
Credential: LMSW
Phone: 906-256-2951