Organization
BLAKE MACKIE PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE JAMES MACKIE LCSW (OWNER)
(773) 270-1632
Entity
Organization
Contact information
Practice address
835 W ROSCOE ST APT 4E, CHICAGO, IL 60657-2698
(773) 270-1632
Mailing address
835 W ROSCOE ST APT 4E, CHICAGO, IL 60657-2698
(773) 270-1632
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
06/24/2026
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