Organization
EMBODIED WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ROTMAN MA, LCPC (FOUNDER, PSYCHOTHERAPIST)
(224) 404-0164
Entity
Organization
Contact information
Practice address
70 W HURON ST APT 1508, CHICAGO, IL 60654-5344
(224) 404-0164
Mailing address
2506 N CLARK ST # 171, CHICAGO, IL 60614-1848
(224) 404-0164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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