Organization
CANOPY COUNSELING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA YASMINE RIVERA LCSW (OWNER)
(815) 557-1584
Entity
Organization
Contact information
Practice address
822 HILLGROVE AVE STE 2, WESTERN SPRINGS, IL 60558-1474
(872) 254-3804
Mailing address
5844 W 55TH ST, CHICAGO, IL 60638-2718
(815) 557-1584
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
12/22/2023
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