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Organization

LIFESPAN BEHAVIORAL HEALTH P.C.

Active
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Organization

LIFESPAN BEHAVIORAL HEALTH P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW HARINGS PSY.D. (CEO)
(773) 930-9553
Entity
Organization

Contact information

Practice address
2502 N CLARK ST STE 212, CHICAGO, IL 60614-1850
(773) 930-9553
Mailing address
2502 N CLARK ST STE 212, CHICAGO, IL 60614-1850
(773) 930-9553

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—

Other

Enumeration date
03/16/2021
Last updated
07/15/2026
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