PRACTICAL AUDACITY LLC NPI 1407361314

NPI Information

NPI: 1407361314
Provider Name: PRACTICAL AUDACITY LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3530 W PALMER ST APT 2
CHICAGO, IL
ZIP 60647
Phone: (318) 547-1823
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PRACTICAL AUDACITY LLC is a professional counselor in Chicago, IL. PRACTICAL AUDACITY LLC NPI is 1407361314. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3530 W PALMER ST APT 2
CHICAGO, IL
ZIP 60647-575
Phone: (318) 547-1823

The provider's authorized official is Rena Mcdaniel .
The authorized official title is Founder And Therapist and has the following contact phone number (318) 547-1823.

The enumeration date for this NPI number is 12/14/2017 and was last updated on 12/14/2017.

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	101YP2500X	Counselor	Professional	180.010161	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: 11/14/2023

NPI Synchronization or Removal

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