Organization
ENVISION COUNSELING PLLC
Active
Other names
Gracie Bates-Davis
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACIE BATES-DAVIS LCPC (PSYCHOTHERAPIST AND OWNER)
(773) 209-1984
Entity
Organization
Contact information
Practice address
53 W JACKSON BLVD STE 1439, CHICAGO, IL 60604-3539
(773) 209-1984
Mailing address
53 W JACKSON BLVD STE 1439, CHICAGO, IL 60604-3539
(773) 209-1984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180009958
IL
Other
Enumeration date
12/14/2017
Last updated
11/20/2023
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