EUSTRESS THERAPY AND WELLNESS NPI 1083957757

NPI Information

NPI: 1083957757
Provider Name: EUSTRESS THERAPY AND WELLNESS
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
9510 S CONSTANCE AVE
SUITE C-6
CHICAGO, IL
ZIP 60617
Phone: (872) 221-0041
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EUSTRESS THERAPY AND WELLNESS is a professional counselor in Chicago, IL. EUSTRESS THERAPY AND WELLNESS NPI is 1083957757. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9510 S CONSTANCE AVE
SUITE C-6
CHICAGO, IL
ZIP 60617-700
Phone: (872) 221-0041
Fax: (866) 683-7047

The provider's authorized official is Mustafa Moyenda .
The authorized official title is Coo and has the following contact phone number (872) 221-0041.

The enumeration date for this NPI number is 4/1/2013 and was last updated on 8/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	14823	ILLINOIS	No
2	225700000X	Massage Therapist		227013113	ILLINOIS	No
3	101YP2500X	Counselor	Professional	180-003124	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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