Ember Therapy, PLLC
Clinic/Center, Adult Mental Health in Chicago, IL. Organization (NPI-2).
NPI number1942028030
StatusActive
Last updated in NPPESSep 28, 2024
Details
- NPI
- 1942028030
- Entity type
- Organization (NPI-2)
- Legal business name
- Ember Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2024
- Certification date
- Sep 28, 2024
- Last updated
- Sep 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
3325 N Lincoln Ave Apt 301Chicago, IL 60657-1182
Phone 312-623-5850
Mailing address
3325 N Lincoln Ave Apt 301Chicago, IL 60657-1182
Phone 312-623-5850
Authorized official
Rosanna Suh
Owner
3126235850
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