Organization
EMPOWER FAMILY THERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA (TINA) THERAPY SHRADER LMFT (FOUNDER)
(773) 340-2336
Entity
Organization
Contact information
Practice address
137 N OAK PARK AVE STE 123, OAK PARK, IL 60301-1300
(773) 340-2336
Mailing address
137 N OAK PARK AVE STE 123, OAK PARK, IL 60301-1300
(773) 340-2336
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
10/03/2019
Last updated
10/03/2019
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