Anna Kultys, Lcpc, PLLC
Clinic/Center, Adult Mental Health in Chicago, IL. Organization (NPI-2).
NPI number1760152995
StatusActive
Last updated in NPPESJun 27, 2024
Details
- NPI
- 1760152995
- Entity type
- Organization (NPI-2)
- Legal business name
- Anna Kultys, Lcpc, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 19, 2021
- Certification date
- Jun 27, 2024
- Last updated
- Jun 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
2451 N Lincoln Ave Ste 204Chicago, IL 60614-2422
Phone 312-646-8937
Mailing address
2451 N Lincoln Ave Ste 204Chicago, IL 60614-2422
Phone 312-646-8937
Authorized official
Anna E Kultys
Managing Officer
3126468937
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