Organization
NEUROWORKS THERAPEUTIC INTERVENTIONS & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHAUNA L WATERS LCSW (OWNER)
(773) 524-0042
Entity
Organization
Contact information
Practice address
5113 S HARPER AVE STE 2042, CHICAGO, IL 60615-4119
(773) 524-0042
Mailing address
5035 S EAST END AVE APT 807N, CHICAGO, IL 60615-0105
(773) 524-0042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
171400000X
Health & Wellness Coach
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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