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Organization
OTTE PRACTICE LLC
Active
Organization
OTTE PRACTICE LLC
Active
Other names
JUST BREATHE MENTAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTTE GARFIELD LASLEY (OWNER)
(312) 401-1428
Entity
Organization
Contact information
Practice address
1804 N NAPER BLVD STE 250, NAPERVILLE, IL 60563-8830
(312) 401-1428
Mailing address
1804 N NAPER BLVD STE 250, NAPERVILLE, IL 60563-8830
(312) 401-1428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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