Monimia Yvonne Macbeth, LCPC, R-DMT
Counselor, Professional in Chicago, IL. Individual provider (NPI-1).
NPI number1457096901
StatusActive
Last updated in NPPESApr 29, 2022
Details
- NPI
- 1457096901
- Entity type
- Individual (NPI-1)
- Name
- Monimia Yvonne Macbeth
- Credential
- LCPC, R-DMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2022
- Certification date
- Mar 27, 2022
- Last updated
- Apr 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180013603 | IL | Yes |
| 225600000X | Dance Therapist | – | – |
Practice location
2659 W Division StChicago, IL 60622-2851
Phone 954-732-4411
Mailing address
1440 E 52nd St Apt 14eChicago, IL 60615-4382
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