# BLUE IRIS THERAPY, PLLC

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

## Provider details

- **NPI number:** 1528712494
- **Authorized official:** ALYSON WOODY MA, LCPC (CLINICAL THERAPIST)
- **Authorized official phone:** (708) 665-5252

## Contact information

- **Practice address:** 915 MAPLETON AVE, OAK PARK, IL 60302
- **Practice address phone:** (708) 665-5252
- **Mailing address:** 7061 NORTH AVE \# 516, OAK PARK, IL 60302-1015
- **Mailing address phone:** (708) 665-5252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2022
- **Last updated:** 10/20/2022