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EMDR URBAN HEALING CENTER LLC NPI 1033719083


NPI Information

NPI: 1033719083
Provider Name: EMDR URBAN HEALING CENTER LLC

Other Name: MEZAME

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
3257 N SHEFFIELD AVE STE 110
CHICAGO, IL
ZIP 60657
Phone: (312) 248-1915
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EMDR URBAN HEALING CENTER LLC is a counselor in Chicago, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. EMDR URBAN HEALING CENTER LLC NPI is 1033719083. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mezame.

The provider's business location address is:

3257 N SHEFFIELD AVE STE 110
CHICAGO, IL
ZIP 60657-276
Phone: (312) 248-1915
Fax: (773) 304-9878

The provider's authorized official is Robert Manrique .
The authorized official title is Owner and has the following contact phone number (312) 248-1915.

The enumeration date for this NPI number is 10/29/2020 and was last updated on 12/12/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2101Y00000XCounselorYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.