Organization
PARTNERSHIPS IN BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE THOMAS ED.D. (OPERATIONS DIRECTOR)
(312) 730-3966
Entity
Organization
Contact information
Practice address
9933 S WESTERN AVE STE 203, CHICAGO, IL 60643-1810
(312) 730-3966
(312) 803-1635
Mailing address
9933 S WESTERN AVE STE 203, CHICAGO, IL 60643-1810
(312) 730-3966
(312) 803-1635
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009102
IL
1041C0700X
Clinical Social Worker
149008520
IL
Other
Enumeration date
01/18/2018
Last updated
11/10/2023
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