Organization
RAYO COUNSELING AND COMMUNITY CO-OP
Active
Other names
Fractal House
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HERSCH LCSW (EXECUTIVE DIRECTOR)
(415) 328-9443
Entity
Organization
Contact information
Practice address
2714 W PETERSON AVE, CHICAGO, IL 60659-3920
(708) 328-8593
Mailing address
2714 W PETERSON AVE, CHICAGO, IL 60659-3920
(708) 328-8593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
02/10/2026
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