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NPI Code Detail

MEDICARE: GEEK THERAPY GUILD PLLC

MEDICARE: GEEK THERAPY GUILD 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
2101YP2500XProfessional Counselor
31041C0700XClinical Social Worker

General Provider Information

NPI Number : 1710749353
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEEK THERAPY GUILD PLLC
Provider Business Mailing Address
First Line : 1309 MULBERRY LN
Second Line :
City : CARY
State : IL
Zip : 60013-1854
Country : US
Telephone Number : 815-355-6981
Fax Number :
Provider Business Practice Location Address
First Line : 500 COVENTRY LN STE 130
Second Line :
City : CRYSTAL LAKE
State : IL
Zip : 60014-7578
Country : US
Telephone Number : 815-889-0582
Fax Number : 815-205-4083
Authorized Official
Title or Position : OWNER
Name : LINDA HADLOCK
Credential : LCSW
Telephone Number : 815-889-0582
Provider Enumeration Date : 01/29/2024
Last Update Date : 02/03/2026

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Directions to “GEEK THERAPY GUILD PLLC ” Practice Location

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