Organization
THERAPY OVER EASY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORYN KIMBROUGH LCPC (OWNER)
(708) 925-4321
Entity
Organization
Contact information
Practice address
3610 216TH ST, MATTESON, IL 60443-2713
(708) 925-4321
Mailing address
3610 216TH ST, MATTESON, IL 60443-2713
(708) 925-4321
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/08/2024
Last updated
09/22/2024
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