Organization
COURTNEY WELLS, PHD LLC DBA PIVOT PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY WELLS PH.D. (OWNER/PSYCHOLOGIST)
(312) 868-0163
Entity
Organization
Contact information
Practice address
4611 N RAVENSWOOD AVE STE 201, CHICAGO, IL 60640-7573
(312) 868-0163
Mailing address
4611 N RAVENSWOOD AVE STE 201, CHICAGO, IL 60640-7573
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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