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Organization
LIVE FULLY THERAPY PLLC
Active
Organization
LIVE FULLY THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BARRIENT MED, LCPC, RD, LDN (LCPC AND DIETITIAN)
(228) 547-5111
Entity
Organization
Contact information
Practice address
1435 W WRIGHTWOOD AVE, CHICAGO, IL 60614-0625
(312) 857-4868
Mailing address
1435 W WRIGHTWOOD AVE APT 3, CHICAGO, IL 60614-0625
(228) 547-5111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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