Organization
EMBODY & MIND COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESA EMMART LCPC, LMHC (OWNER & FOUNDER)
(773) 309-1542
Entity
Organization
Contact information
Practice address
53 W JACKSON BLVD STE 1334, CHICAGO, IL 60604-3548
(773) 309-1542
Mailing address
53 W JACKSON BLVD STE 1334, CHICAGO, IL 60604-3548
(773) 309-1542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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