# NEURO NURTURE L.L.C

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

## Provider details

- **NPI number:** 1205639309
- **Authorized official:** JEREMY LOMAS (BUSINESS DEVELOPER)
- **Authorized official phone:** (609) 960-3393

## Contact information

- **Practice address:** 6406 S INGLESIDE AVE APT 2, CHICAGO, IL 60637-3661
- **Practice address phone:** (312) 350-0076
- **Mailing address:** PO BOX 10499, CHICAGO, IL 60610-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 102L00000X | Psychoanalyst | — | NULL | Yes |
| 102L00000X | Psychoanalyst | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2025
- **Last updated:** 04/01/2025