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Organization
NOURISH PSYCHOTHERAPY LLC
Active
Organization
NOURISH PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINNET MENDEZ LCPC (PRACTICE MANAGER)
(773) 403-2374
Entity
Organization
Contact information
Practice address
5225 OLD ORCHARD RD STE 29, SKOKIE, IL 60077-1027
(773) 403-2374
Mailing address
5225 OLD ORCHARD RD STE 29, SKOKIE, IL 60077-1027
(773) 403-2374
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007420
IL
1041C0700X
Clinical Social Worker
149.013079
IL
1041C0700X
Clinical Social Worker
149.018995
IL
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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