| NPI | 1740038090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENISHA PHILLIPS Owner/CEO/Psychotherapist 312-450-1238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TC1900X Psychologist Counseling | |
| 103TH0004X Psychologist Health | |
| 207R00000X Internal Medicine | |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 225100000X Physical Therapist | |
| 2255A2300X Specialist/Technologist Athletic Trainer | |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |