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STRIVE TO SERENITY LLC NPI 1821578188


NPI Information

NPI: 1821578188
Provider Name: STRIVE TO SERENITY, LLC

Doing Business As: SUBSTANCE ABUSE TREATMENT

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 14D2211255

Address:
7124 W GRAND AVE
CHICAGO, IL
ZIP 60707
Phone: (773) 552-2769
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STRIVE TO SERENITY, LLC is a rehabilitation and substance use disorder clinic center in Chicago, IL. STRIVE TO SERENITY, LLC NPI is 1821578188. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Substance Abuse Treatment.

The provider's business location address is:

7124 W GRAND AVE
CHICAGO, IL
ZIP 60707-805
Phone: (773) 552-2769

The provider's authorized official is Michele Mighty .
The authorized official title is Owner and has the following contact phone number (773) 413-7534.

The CLIA number assigned to this NPI record is 14D2211255 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2018 and was last updated on 1/5/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM2800XClinic/CenterMethadoneNo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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

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