Organization
OPTIMUM JOY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA HOERR LCPC (PRESIDENT)
(312) 772-9796
Entity
Organization
Contact information
Practice address
1147 W OHIO ST STE 103, CHICAGO, IL 60642-5874
(312) 772-9796
Mailing address
1147 W OHIO ST STE 103, CHICAGO, IL 60642-5874
(312) 772-9796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.010561
IL
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760931745
—
IL
Enumeration date
11/22/2017
Last updated
07/27/2022
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