Organization
BENEATH THE FACADE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA LEWIS LCSW (OWNER)
(708) 669-9253
Entity
Organization
Contact information
Practice address
5942 S KING DR UNIT 2N, CHICAGO, IL 60637-1358
(708) 669-9253
Mailing address
5942 S KING DR UNIT 2N, CHICAGO, IL 60637-1358
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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