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Organization
TRANSFORMATIVE PSYCHOTHERAPY LLC
Active
Organization
TRANSFORMATIVE PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA J. RIVITZ LCSW (MANAGER)
(773) 484-5186
Entity
Organization
Contact information
Practice address
4753 N BROADWAY ST, 830, CHICAGO, IL 60640-5266
(773) 484-5186
Mailing address
950 W LELAND AVE, #310, CHICAGO, IL 60640-7100
(773) 484-5186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149002037
IL
Other
Enumeration date
09/13/2013
Last updated
09/17/2013
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