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Organization
STARGATE THERAPY INNOVATIONS
Active
Organization
STARGATE THERAPY INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SULLIVAN LCPC (OWNER/MENTAL HEALTH THERAPIST)
(773) 372-5954
Entity
Organization
Contact information
Practice address
4025 N AUSTIN AVE, CHICAGO, IL 60634-1605
(773) 372-5954
(773) 372-5954
Mailing address
4025 N AUSTIN AVE, CHICAGO, IL 60634-1605
(773) 372-5954
(773) 372-5954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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