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Organization

ACTUALLY ME THERAPY AND CONSULTATION PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATOYA SEVIER (OWNER, CLINICAL DIRECTOR)
(708) 501-7442
Entity
Organization

Contact information

Practice address
17941 WENTWORTH AVE OFC 1, LANSING, IL 60438-3938
(708) 501-7442
Mailing address
20015 S LAGRANGE RD, FRANKFORT, IL 60423-3104
(708) 501-7442

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
08/30/2022
Last updated
08/30/2022
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