# THERAPY WITH TINA PLLC

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

## Provider details

- **NPI number:** 1760343818
- **Authorized official:** KRISTINA NICOLE FAIRBANKS MS, LMFT (OWNER)
- **Authorized official phone:** (630) 217-3921

## Contact information

- **Practice address:** 1 E SUPERIOR ST STE 506, CHICAGO, IL 60611-2593
- **Practice address phone:** (630) 217-3921
- **Mailing address:** 1 E SUPERIOR ST STE 506, CHICAGO, IL 60611-2593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2025
- **Last updated:** 11/19/2025