Provider Demographics
NPI:1558030148
Name:CALMLY CENTERED THERAPY, PLLC
Entity Type:Organization
Organization Name:CALMLY CENTERED THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER AND THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DAMORE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW & CADC
Authorized Official - Phone:612-741-1178
Mailing Address - Street 1:3809 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:SPRING GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60081-8631
Mailing Address - Country:US
Mailing Address - Phone:612-741-1178
Mailing Address - Fax:
Practice Address - Street 1:3809 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:SPRING GROVE
Practice Address - State:IL
Practice Address - Zip Code:60081-8631
Practice Address - Country:US
Practice Address - Phone:612-741-1178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty