NOURISH PSYCHOTHERAPY LLC NPI 1770065088

NPI Information

NPI: 1770065088
Provider Name: NOURISH PSYCHOTHERAPY LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
5225 OLD ORCHARD RD STE 29
SKOKIE, IL
ZIP 60077
Phone: (773) 403-2374
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NOURISH PSYCHOTHERAPY LLC is a professional counselor in Skokie, IL. NOURISH PSYCHOTHERAPY LLC NPI is 1770065088. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5225 OLD ORCHARD RD STE 29
SKOKIE, IL
ZIP 60077-027
Phone: (773) 403-2374

The provider's authorized official is Linnet Mendez .
The authorized official title is Practice Manager and has the following contact phone number (773) 403-2374.

The enumeration date for this NPI number is 9/4/2018 and was last updated on 9/4/2018.

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	1041C0700X	Social Worker	Clinical	149.013079	ILLINOIS	No
2	1041C0700X	Social Worker	Clinical	149.018995	ILLINOIS	No
3	101YP2500X	Counselor	Professional	180.007420	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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