Organization
EMBODIED WAY PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHIH-HSIEN LIN LCPC, BC-DMT (FOUNDER)
(773) 234-9115
Entity
Organization
Contact information
Practice address
1215 W NORWOOD ST APT 3, CHICAGO, IL 60660-2592
(312) 608-2999
Mailing address
1215 W NORWOOD ST APT 3, CHICAGO, IL 60660-2592
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
225600000X
Dance Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13987434
CAQH
IL
Enumeration date
02/03/2022
Last updated
02/03/2022
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