Ljt Therapeutics
Clinic/Center, Mental Health (Including Community Mental Health Center) in Chicago, IL. Organization (NPI-2).
NPI number1013663368
StatusActive
Last updated in NPPESSep 8, 2025
Details
- NPI
- 1013663368
- Entity type
- Organization (NPI-2)
- Legal business name
- Ljt Therapeutics
- Organization subpart
- No
- Enumeration date
- Feb 25, 2022
- Certification date
- Sep 8, 2025
- Last updated
- Sep 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
1130 S Canal St Ste 1177Chicago, IL 60607-5058
Phone 773-600-6667
Mailing address
701 Market StSuite 110 Pmb 1983
Saint Louis, MO 63101-1824
Authorized official
Lahaji Thomas
Owner
7736006667
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