# CLEA MIRZA JAMES LMFT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114588183
- **Authorized official:** CLEA JAMES (OWNER/SOLE MEMBER)
- **Authorized official phone:** (312) 767-7855

## Contact information

- **Practice address:** 5215 N RAVENSWOOD AVE STE 211, CHICAGO, IL 60640-1670
- **Practice address phone:** (312) 767-7855
- **Mailing address:** 5215 N RAVENSWOOD AVE STE 211, CHICAGO, IL 60640-1670
- **Mailing address phone:** (312) 767-7855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2019
- **Last updated:** 07/01/2022