Organization
BLACK DOG PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH EVETT LCSW (OWNER)
(512) 815-3186
Entity
Organization
Contact information
Practice address
1525 W CARMEN AVE APT 2, CHICAGO, IL 60640-8574
(512) 815-3186
Mailing address
1525 W CARMEN AVE APT 2, CHICAGO, IL 60640-8574
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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