SELF THEORY LLC NPI 1356108260

NPI Information

  • NPI: 1356108260
  • Provider Name: SELF THEORY LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 770 N HALSTED ST STE 306
    CHICAGO, IL
    ZIP 60642
  • Phone: (312) 973-8687

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NPI Details

SELF THEORY LLC 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. SELF THEORY LLC NPI is 1356108260. The provider is registered as an organization entity type.

The provider's business location address is:

770 N HALSTED ST STE 306
CHICAGO, IL
ZIP 60642-407
Phone: (312) 973-8687

The provider's authorized official is Tanisha Hines .
The authorized official title is Owner/director and has the following contact phone number (773) 569-0791.

The enumeration date for this NPI number is 3/6/2024 and was last updated on 10/30/2025.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes

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: 11/21/2025

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