THIRD EYE THERAPY CHICAGO LLC NPI 1750924775

NPI Information

  • NPI: 1750924775
  • Provider Name: THIRD EYE THERAPY CHICAGO LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 17 N WABASH AVE STE 515
    CHICAGO, IL
    ZIP 60602
  • Phone: (513) 460-8217

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NPI Details

THIRD EYE THERAPY CHICAGO LLC is a professional counselor in Chicago, IL. THIRD EYE THERAPY CHICAGO LLC NPI is 1750924775. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17 N WABASH AVE STE 515
CHICAGO, IL
ZIP 60602-818
Phone: (513) 460-8217

The provider's authorized official is Miren Guereca .
The authorized official title is Owner and has the following contact phone number (313) 312-5010.

The enumeration date for this NPI number is 10/22/2019 and was last updated on 5/22/2021.

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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YP2500XCounselorProfessionalYes
5104100000XSocial WorkerNo
61041C0700XSocial WorkerClinicalNo

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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