Organization
ENLIVEN COUPLES THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A. SHARKY LMFT, CST (PRESIDENT)
(773) 469-1507
Entity
Organization
Contact information
Practice address
30 N MICHIGAN AVE, SUITE 906, CHICAGO, IL 60602-3402
(773) 469-1507
Mailing address
30 N MICHIGAN AVE, SUITE 906, CHICAGO, IL 60602-3402
(773) 469-1507
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000.676
IL
Other
Enumeration date
09/10/2011
Last updated
09/10/2011
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