Talk Therapy With Abia PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Glen Ellyn, IL. Organization (NPI-2).
NPI number1225891815
StatusActive
Last updated in NPPESJun 13, 2024
Details
- NPI
- 1225891815
- Entity type
- Organization (NPI-2)
- Legal business name
- Talk Therapy With Abia PLLC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2024
- Certification date
- Jun 13, 2024
- Last updated
- Jun 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
800 Roosevelt Rd Ste E220Glen Ellyn, IL 60137-5868
Phone 630-239-1784 · Fax 630-216-4818
Mailing address
800 Roosevelt Rd Ste E220Glen Ellyn, IL 60137-5868
Phone 630-447-0897
Authorized official
Abia Hashmi
Mental Health Professional Lcpc
6302391784
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