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Organization

OTTE PRACTICE LLC

Active
Other names
JUST BREATHE MENTAL HEALTH
Organization subpart
No

Provider details

NPI number
Authorized official
ELLIOTTE GARFIELD LASLEY (OWNER)
(312) 401-1428
Entity
Organization

Contact information

Practice address
1804 N NAPER BLVD STE 250, NAPERVILLE, IL 60563-8830
(312) 401-1428
Mailing address
1804 N NAPER BLVD STE 250, NAPERVILLE, IL 60563-8830
(312) 401-1428

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
09/10/2024
Last updated
09/10/2024
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