MODERN SOUL THERAPY LLC is a mental health counselor in Chicago, IL. MODERN SOUL THERAPY LLC NPI is 1013516145. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2000 N RACINE AVE STE 2160
CHICAGO, IL
ZIP 60614-045
Phone: (740) 408-6407
The provider's authorized official is Mallory A Ingram .
The authorized official title is Therapist and has the following contact phone number (740) 408-6407.
The enumeration date for this NPI number is 10/20/2020 and was last updated on 10/20/2020.