Organization
HEALING AND FUERZA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS LOPEZ-PALOMAR LCSW (OWNER/THERAPIST)
(773) 896-0219
Entity
Organization
Contact information
Practice address
917 W 18TH ST #219, CHICAGO, IL 60608
(773) 896-0219
Mailing address
917 W 18TH ST #219, CHICAGO, IL 60608
(773) 896-0219
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
10/03/2021
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