NPI Code Details Logo

NPI 1861122152

NPI 1861122152 : CAUGHT DREAMIN' THERAPY, LLC : MARQUETTE, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1861122152
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CAUGHT DREAMIN' THERAPY, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/10/2022
-----------------------------------------------------
    Last Update Date     |    01/03/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1025 W WASHINGTON ST STE B 
-----------------------------------------------------
    City                 |    MARQUETTE
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49855-4031
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    906-869-4424
-----------------------------------------------------
    Fax                  |    906-639-6334
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1025 W WASHINGTON ST STE B 
-----------------------------------------------------
    City                 |    MARQUETTE
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49855-4031
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    906-256-2951
-----------------------------------------------------
    Fax                  |    906-629-6334
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/THERAPIST
-----------------------------------------------------
    Name                 |     JOANNE C. GARROW 
-----------------------------------------------------
    Credential           |    LMSW
-----------------------------------------------------
    Telephone            |    906-256-2951
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.