Organization
DISTINCTIVELY ME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA DOTSON-LEWIS LCSW (FOUNDER/EXECUTIVE DIRECTOR)
(773) 504-1571
Entity
Organization
Contact information
Practice address
33 W 155TH PL, SOUTH HOLLAND, IL 60473-1202
(708) 730-2340
Mailing address
33 W 155TH PL, SOUTH HOLLAND, IL 60473-1202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
07/08/2025
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