Organization
NEST PSYCHOTHERAPY PLLC
Active
Other names
Nest Psychotherapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA VILLACORTA GRIFFIN LCSW (PSYCHOTHERAPIST, OWNER)
(847) 348-9849
Entity
Organization
Contact information
Practice address
4633 N WESTERN AVE, SUITE 200, CHICAGO, IL 60625-2181
(847) 348-9849
Mailing address
4633 N WESTERN AVE, SUITE 200, CHICAGO, IL 60625-2181
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114456134
—
IL
Enumeration date
02/21/2020
Last updated
07/27/2022
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