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Organization
DRIVE PSYCHOTHERAPY PLLC
Active
Organization
DRIVE PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FOREMAN (CREDENTIALING)
(630) 313-0069
Entity
Organization
Contact information
Practice address
4619 N RAVENSWOOD AVE # 104-D, CHICAGO, IL 60640-4580
(847) 933-0051
Mailing address
4619 N RAVENSWOOD AVE STE 104-D, CHICAGO, IL 60640-4580
(901) 482-8052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
06/04/2025
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