Prospering Therapy Services
Clinic/Center, Adult Mental Health in Chicago, IL. Organization (NPI-2).
NPI number1245003136
StatusActive
Last updated in NPPESNov 1, 2023
Details
- NPI
- 1245003136
- Entity type
- Organization (NPI-2)
- Legal business name
- Prospering Therapy Services
- Organization subpart
- No
- Enumeration date
- Nov 1, 2023
- Certification date
- Nov 1, 2023
- Last updated
- Nov 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
808 W Junior Ter Apt 303Chicago, IL 60613-1657
Phone 516-729-8863
Mailing address
808 W Junior Ter Apt 303Chicago, IL 60613-1657
Phone 516-729-8863
Authorized official
Eric William Herskowitz
Owner
5167298863
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