Organization
DEEPLY ROOTED THERAPEUTIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATESHA JAMARI HARRIS-BOYD LCSW (OWNER AND CEO)
(872) 935-1345
Entity
Organization
Contact information
Practice address
1750 E 87TH ST STE 104A, CHICAGO, IL 60617-2706
(872) 395-1345
Mailing address
1750 E 87TH ST STE 104A, CHICAGO, IL 60617-2706
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
03/22/2024
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