Organization
GLOW EXPRESSIVE ARTS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON ANICH LCSW (OWNER)
(773) 683-2435
Entity
Organization
Contact information
Practice address
2227 N WESTERN AVE, CHICAGO, IL 60647-3122
(773) 683-2435
Mailing address
2227 N WESTERN AVE, CHICAGO, IL 60647-3122
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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