Organization
ESSENTIAL LIFESTYLE THERAPY &CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE BRANDY WEBB LSCW (OWNER)
(312) 767-8651
Entity
Organization
Contact information
Practice address
14132 S MICHIGAN AVE, RIVERDALE, IL 60827-2232
(773) 885-2773
Mailing address
14132 S MICHIGAN AVE, RIVERDALE, IL 60827-2232
(773) 885-2773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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