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Organization
UNTETHERED THERAPY SERVICES
Active
Organization
UNTETHERED THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIMMIAH MENYONGAI LCSW (OWNER)
(872) 216-5273
Entity
Organization
Contact information
Practice address
213 W INSTITUTE PL STE 210, CHICAGO, IL 60610-3196
(872) 216-5273
Mailing address
2501 CHATHAM RD STE 8429, SPRINGFIELD, IL 62704-4188
(872) 216-5273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
OTHER
IL
Enumeration date
04/13/2026
Last updated
04/17/2026
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