Organization
LIFESPAN BEHAVIORAL HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HARINGS PSY.D. (CEO)
(773) 930-9553
Entity
Organization
Contact information
Practice address
2502 N CLARK ST STE 212, CHICAGO, IL 60614-1850
(773) 930-9553
Mailing address
2502 N CLARK ST STE 212, CHICAGO, IL 60614-1850
(773) 930-9553
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
07/29/2024
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