CATHARTIC SPACE LTD NPI 1730579012

NPI Information

NPI: 1730579012
Provider Name: CATHARTIC SPACE LTD
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3166 N LINCOLN AVE
SUITE 207
CHICAGO, IL
ZIP 60657
Phone: (773) 633-9075
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CATHARTIC SPACE LTD is a professional counselor in Chicago, IL. CATHARTIC SPACE LTD NPI is 1730579012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3166 N LINCOLN AVE
SUITE 207
CHICAGO, IL
ZIP 60657-133
Phone: (773) 633-9075

The provider's authorized official is Kristen Jacobsen .
The authorized official title is Owner and has the following contact phone number (773) 633-9075.

The enumeration date for this NPI number is 1/26/2015 and was last updated on 1/26/2015.

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	180008355	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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