Organization
EMDR URBAN HEALING CENTER LLC
Active
Other names
Mezame
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MANRIQUE LCSW (OWNER)
(312) 248-1915
Entity
Organization
Contact information
Practice address
3257 N SHEFFIELD AVE STE 110, CHICAGO, IL 60657-2276
(312) 248-1915
(773) 304-9878
Mailing address
3257 N SHEFFIELD AVE STE 110, CHICAGO, IL 60657-2276
(312) 248-1915
(773) 304-9878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/29/2020
Last updated
12/12/2023
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