| NPI | 1184165383 |
|---|---|
| Doing Business As | GULF COAST PSYCH THERAPY GROUP |
| Entity Type | Organization |
| Authorized Contact | TERRY DORNAK Owner 312-781-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009088) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-05-15 |