# AMANDA ATKINS, LLC

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

## Provider details

- **NPI number:** 1184092413
- **Authorized official:** MRS. AMANDA JO ATKINS LMFT (OWNER/THERAPIST)
- **Authorized official phone:** (312) 401-6574

## Contact information

- **Practice address:** 4050 N LINCOLN AVE, CHICAGO, IL 60618-3067
- **Practice address phone:** (312) 401-6574
- **Mailing address:** 4503 N WESTERN AVE, CHICAGO, IL 60625-2116
- **Mailing address phone:** (312) 401-6574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 166000968 | IL | Yes |

## Other

- **Enumeration date:** 09/03/2015
- **Last updated:** 09/03/2015