Provider Demographics
NPI:1912791195
Name:SAGEWOOD THERAPY PLLC
Entity type:Organization
Organization Name:SAGEWOOD THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMARIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNATE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:331-258-2237
Mailing Address - Street 1:2100 MANCHESTER RD STE 966
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4671
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2100 MANCHESTER ROAD
Practice Address - Street 2:BUILDING B - SUITE 966
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187
Practice Address - Country:US
Practice Address - Phone:630-825-5445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty