Organization
TRUE SPACE COUNSELING AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA MICHELE LONG PH.D. (CLINICAL PSYCHOLOGIST)
(312) 248-3481
Entity
Organization
Contact information
Practice address
20280 GOVERNORS HWY STE 105, OLYMPIA FIELDS, IL 60461-1068
(312) 248-3481
(312) 535-6815
Mailing address
22939 MILLARD AVE, RICHTON PARK, IL 60471-2534
(708) 724-8044
(312) 535-6815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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