Organization
CARROLL CARES THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAYAMA CARROLL LCPC (OWNER)
(312) 709-8722
Entity
Organization
Contact information
Practice address
55 E MONROE ST STE 3800, CHICAGO, IL 60603-6030
(312) 709-8722
Mailing address
7100 S SOUTH SHORE DR APT 706, CHICAGO, IL 60649-2766
(312) 709-8722
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180010017
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902076417
INDIVIDUAL NPI
IL
Enumeration date
02/06/2018
Last updated
02/06/2018
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