Organization
FLEUR DE VIE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WINKLER (FOUNDER)
(630) 596-3291
Entity
Organization
Contact information
Practice address
4704 W BERENICE AVE, CHICAGO, IL 60641-3614
(630) 596-3291
Mailing address
4704 W BERENICE AVE, CHICAGO, IL 60641-3614
(630) 596-3291
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730857335
—
IL
Enumeration date
02/05/2024
Last updated
02/05/2024
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