Organization
SAM ALLEN THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL ALLEN PHD, LMFT (OWNER)
(443) 452-8674
Entity
Organization
Contact information
Practice address
5001 N FRANCISCO AVE, CHICAGO, IL 60625-3609
(443) 452-8674
Mailing address
5001 N FRANCISCO AVE, CHICAGO, IL 60625-3609
(443) 452-8674
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225419419
CMS
—
Enumeration date
06/30/2025
Last updated
06/30/2025
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