Organization
AMPLIFY RESILIENCY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE FRIEDMAN LCSW (OWNER)
(312) 588-6158
Entity
Organization
Contact information
Practice address
3166 N LINCOLN AVE STE 314, CHICAGO, IL 60657-3119
(312) 588-6158
Mailing address
3166 N LINCOLN AVE STE 314, CHICAGO, IL 60657-3119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356866909
—
IL
Enumeration date
07/08/2019
Last updated
07/08/2019
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