Provider Demographics
NPI:1851970578
Name:CALMING CORNER THERAPY
Entity Type:Organization
Organization Name:CALMING CORNER THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAURINO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-715-5593
Mailing Address - Street 1:3004 KING JAMES AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-7832
Mailing Address - Country:US
Mailing Address - Phone:630-715-5539
Mailing Address - Fax:630-882-0559
Practice Address - Street 1:3004 KING JAMES AVE
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-7832
Practice Address - Country:US
Practice Address - Phone:630-715-5593
Practice Address - Fax:630-882-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty