Organization
MIDSOMMER PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER POTESTA MA,LPC, NCC (CO-FOUNDER, PSYCHOTHERAPIST)
(330) 962-4943
Entity
Organization
Contact information
Practice address
1530 S STATE ST APT 1014, CHICAGO, IL 60605-2987
(330) 962-4943
Mailing address
1530 S STATE ST APT 1014, CHICAGO, IL 60605-2987
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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