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Organization
SHORTER-TAYLOR BEHAVIOR CONSULTING LLC
Active
Organization
SHORTER-TAYLOR BEHAVIOR CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL TAYLOR (OPERATIONS MANAGER)
(773) 724-0193
Entity
Organization
Contact information
Practice address
921 S AUSTIN BLVD FL 2, CHICAGO, IL 60644-5311
(773) 724-0193
Mailing address
921 S AUSTIN BLVD FL 2, CHICAGO, IL 60644-5311
(773) 724-0193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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