OLIPHANT THERAPY AND WELLNESS PLLC NPI 1063155943

NPI Information

NPI: 1063155943
Provider Name: OLIPHANT THERAPY AND WELLNESS, PLLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1130 S CANAL ST # 1249
CHICAGO, IL
ZIP 60607
Phone: (224) 269-0286
Get Directions

OLIPHANT THERAPY AND WELLNESS, PLLC is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. OLIPHANT THERAPY AND WELLNESS, PLLC NPI is 1063155943. The provider is registered as an organization entity type.

The provider's business location address is:

1130 S CANAL ST # 1249
CHICAGO, IL
ZIP 60607-907
Phone: (224) 269-0286

The provider's authorized official is Ebony Oliphant .
The authorized official title is Owner and has the following contact phone number (224) 269-0286.

The enumeration date for this NPI number is 4/18/2022 and was last updated on 4/18/2022.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0850X	Clinic/Center	Adult Mental Health			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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