Haywood Walton Therapeutic Services PLLC
Counselor, Mental Health in Chicago, IL. Organization (NPI-2).
NPI number1104752500
StatusActive
Last updated in NPPESJun 23, 2026
Details
- NPI
- 1104752500
- Entity type
- Organization (NPI-2)
- Legal business name
- Haywood Walton Therapeutic Services PLLC
- Organization subpart
- No
- Enumeration date
- Jun 23, 2026
- Certification date
- Jun 22, 2026
- Last updated
- Jun 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
211 W Wacker DrChicago, IL 60606-1217
Phone 312-612-9375
Mailing address
211 W. Wacker DrSuite 120 Pmb 2460
Chicago, IL 60606
Phone 312-612-9375
Authorized official
Latosha Kamille Haywood
Owner
3126129375
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