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Organization
VIDA THERAPY
Active
Organization
VIDA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURIANNA REYES LCPC (OWNER/CLINICAL THERAPIST)
(708) 673-5548
Entity
Organization
Contact information
Practice address
1322 W 18TH ST, CHICAGO, IL 60608-3148
(773) 669-7901
Mailing address
11606 S AVENUE G, CHICAGO, IL 60617-7415
(773) 669-7901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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