Organization · Type 2 NPI
Matt Domico LCSW LLC
Adult Mental Health Clinic/Center · Peoria, IL
NPI number
1962294629
Active
Practice location
5901 N Prospect Rd Ste 105
Peoria, IL 61614-4358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
3 other providers at this address
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- Epic, Inc.Adult Mental Health Clinic/Center Peoria, IL NPI 1861332736
About NPI 1962294629
Matt Domico LCSW LLC's National Provider Identifier is 1962294629, issued on May 20, 2025. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Peoria, IL. The record was last updated on May 20, 2025.