Organization
INSTITUTE FOR THERAPY THROUGH THE ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICA MELANIE MALONE LCPC (CLINICAL DIRECTOR)
(847) 425-9708
Entity
Organization
Contact information
Practice address
1316 SHERMAN AVE STE 100, EVANSTON, IL 60201-4361
(847) 425-9708
(847) 448-8337
Mailing address
1316 SHERMAN AVE STE 100, EVANSTON, IL 60201-4361
(847) 425-9708
(847) 448-8337
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
221700000X
Art Therapist
—
—
225600000X
Dance Therapist
—
—
225A00000X
Music Therapist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00621
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
01
—
60054
AETNA
IL
01
—
BS001
BLUE CROSS BLUE SHIELD OF CALIFORNIA
CA
01
—
SB870
BLUE CROSS BLUE SHIELD OF RHODE ISLAND
RI
Enumeration date
05/01/2015
Last updated
03/25/2025
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