Organization
EMBODIED PRACTICE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL E HUDGENS LCSW (CLINICAL SOCIAL WORKER)
(847) 868-4585
Entity
Organization
Contact information
Practice address
751 SHERMAN AVE APT 3, EVANSTON, IL 60202-4357
(845) 886-4585
Mailing address
751 SHERMAN AVE APT 3, EVANSTON, IL 60202-4357
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/22/2022
Last updated
07/03/2023
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