SOULRECONSTRUCT PSYCHOTHERAPY is a mental health counselor in Chicago, IL. SOULRECONSTRUCT PSYCHOTHERAPY NPI is 1083287924. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
1136 S DELANO CT W STE B201
CHICAGO, IL
ZIP 60605-734
Phone: (312) 476-9682
The provider's authorized official is Sierria Channing Coleman .
The authorized official title is Owner/lic Clini Coun and has the following contact phone number (615) 424-2761.
The enumeration date for this NPI number is 7/19/2021 and was last updated on 7/19/2021.