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Organization
SHFT BEHAVIORAL HEALTH PLLC
Active
Organization
SHFT BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLEY BRANDCHAFT-WHITE LCSW (CHIEF CLINICAL OFFICER)
(301) 257-6352
Entity
Organization
Contact information
Practice address
730 N FRANKLIN ST STE 510, CHICAGO, IL 60654-7226
(301) 257-6352
Mailing address
2534 W BLOOMINGDALE AVE, CHICAGO, IL 60647-4336
(301) 257-6352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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