NPI | 1164980173 |
---|---|
Doing Business As | LAKE PARK COUNSELING, PC |
Former Legal Business Name | EMMA COATE COUNSELING, INC. |
Entity Type | Organization |
Authorized Contact | EMMA COATE Psychotherapist 773-970-9708 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-03-08 |
Last Update Date | 2022-07-16 |