# SHFT BEHAVIORAL HEALTH PLLC

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

## Provider details

- **NPI number:** 1346130911
- **Authorized official:** HOLLEY BRANDCHAFT-WHITE LCSW (CHIEF CLINICAL OFFICER)
- **Authorized official phone:** (301) 257-6352

## Contact information

- **Practice address:** 730 N FRANKLIN ST STE 510, CHICAGO, IL 60654-7226
- **Practice address phone:** (301) 257-6352
- **Mailing address:** 2534 W BLOOMINGDALE AVE, CHICAGO, IL 60647-4336
- **Mailing address phone:** (301) 257-6352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/07/2025
- **Last updated:** 07/07/2025