# HYDE PARK CENTER FOR HEALING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jessica Kuhnen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881164036
- **Authorized official:** JESSICA KUHNEN LCSW (CEO)
- **Authorized official phone:** (872) 212-3424

## Contact information

- **Practice address:** 5113 S HARPER AVE STE 2006, CHICAGO, IL 60615-4119
- **Practice address phone:** (872) 212-3424
- **Mailing address:** 7418 S LAFAYETTE AVE, CHICAGO, IL 60621-3406
- **Mailing address phone:** (773) 699-6283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2018
- **Last updated:** 11/30/2018