Organization
IMAGINE THERAPY MINDFULNESS HEALING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISSA FLANNERY (MANAGER)
(708) 337-0642
Entity
Organization
Contact information
Practice address
708 W GRAND AVE, CHICAGO, IL 60654
(312) 300-2190
Mailing address
708 W GRAND AVE, CHICAGO, IL 60654
(312) 300-2190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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