Lackaye Therapy And Advocacy LLC
Social Worker, Clinical in Chicago, IL. Organization (NPI-2).
NPI number1083173520
StatusActive
Last updated in NPPESMar 14, 2019
Details
- NPI
- 1083173520
- Entity type
- Organization (NPI-2)
- Legal business name
- Lackaye Therapy And Advocacy LLC
- Organization subpart
- No
- Enumeration date
- Mar 14, 2019
- Last updated
- Mar 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
2736 N Southport Ave Apt 1Chicago, IL 60614-1230
Phone 573-356-7909
Mailing address
2736 N Southport Ave Apt 1Chicago, IL 60614-1230
Phone 573-356-7909
Authorized official
Joanna Lackaye
Owner / Therapist
5733567909
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