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Organization
INSTITUTE FOR THERAPY THROUGH THE ARTS
Active
Organization
INSTITUTE FOR THERAPY THROUGH THE ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICA MELANIE MALONE LCPC (CLINICAL DIRECTOR)
(847) 425-9708
Entity
Organization
Contact information
Practice address
1316 SHERMAN AVE STE 100, EVANSTON, IL 60201-4361
(847) 425-9708
(847) 448-8337
Mailing address
1316 SHERMAN AVE STE 100, EVANSTON, IL 60201-4361
(847) 425-9708
(847) 448-8337
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
221700000X
Art Therapist
—
—
225600000X
Dance Therapist
—
—
225A00000X
Music Therapist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00621
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
01
—
60054
AETNA
IL
01
—
BS001
BLUE CROSS BLUE SHIELD OF CALIFORNIA
CA
01
—
SB870
BLUE CROSS BLUE SHIELD OF RHODE ISLAND
RI
Enumeration date
05/01/2015
Last updated
03/25/2025
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