Organization
BEACON THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE DAVITT (OWNER - MENTAL HEALTH THERAPIST)
(630) 995-6837
Entity
Organization
Contact information
Practice address
2500 W BRADLEY PL STE 100, CHICAGO, IL 60618-4716
(708) 794-6898
Mailing address
3105 W LAWRENCE AVE APT 3, CHICAGO, IL 60625-7451
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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