Organization
EMPOWER CHICAGO THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER COLEMAN (MANAGER)
(858) 243-6812
Entity
Organization
Contact information
Practice address
332 S. MICHIGAN AVE, STE 121 #5151, CHICAGO, IL 60604
(858) 243-6812
Mailing address
332 S. MICHIGAN AVE, STE 121 #5151, CHICAGO, IL 60604
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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