Provider Demographics
NPI:1790584126
Name:READY THERAPY COLLECTIVE - MADDIE GERIG SHELLY PLLC
Entity type:Organization
Organization Name:READY THERAPY COLLECTIVE - MADDIE GERIG SHELLY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GERIG SHELLY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, ATR-BC
Authorized Official - Phone:574-309-2196
Mailing Address - Street 1:1101 LAKE ST STE 310
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1047
Mailing Address - Country:US
Mailing Address - Phone:708-613-0710
Mailing Address - Fax:
Practice Address - Street 1:1101 LAKE ST STE 310
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1047
Practice Address - Country:US
Practice Address - Phone:708-613-0710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)