Organization
ECLECTIC APPROACHES TO THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICAELA BATES LCSW (THERAPIST)
(773) 739-3705
Entity
Organization
Contact information
Practice address
6601 NORTH AVE, OAK PARK, IL 60302-1005
(773) 739-3705
Mailing address
6601 NORTH AVE, OAK PARK, IL 60302-1005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015046
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327768008001
—
IL
Enumeration date
04/18/2017
Last updated
04/18/2017
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