Organization
M3 WELLNESS AND COUNSELING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAISHA STARKS LSW (LICENSED SOCIAL WORKER)
(312) 513-7752
Entity
Organization
Contact information
Practice address
1433 E 67TH PL APT 2E, CHICAGO, IL 60637-6278
(312) 513-7752
Mailing address
1433 E 67TH PL APT 2E, CHICAGO, IL 60637-6278
(312) 513-7752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
163WC1500X
Community Health Registered Nurse
—
—
172V00000X
Community Health Worker
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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