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Organization

360 TALK THERAPY INC

Active
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Organization

360 TALK THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY WILKES NP (CEO)
(773) 569-7470
Entity
Organization

Contact information

Practice address
8556 S ASHLAND AVE, CHICAGO, IL 60620-4709
(312) 584-6953
Mailing address
8556 S ASHLAND AVE, CHICAGO, IL 60620-4709
(312) 584-6953

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
01/26/2023
Last updated
09/08/2026
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