OrganizationActive
Midway Mediation & Coaching Services, LLC
NPI 1679907463 · Clinical Social Worker · Cary, IL
Provider details
- NPI number
- 1679907463
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Green, Owner/President(224) 523-0769
- License
- 149011403 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2615 Three Oaks Rd Ste 2b
Cary, IL 60013-6119
Phone: (224) 523-0769
Fax: (888) 972-5628
Approximate (ZIP-level) locationGet directions
Mailing address
2615 Three Oaks Rd Ste 2b
Cary, IL 60013-6119
Registry dates
- Enumerated
- 2013-08-28
- Last updated
- 2025-12-18
- Certified
- 2025-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.