Organization
LOVE YOGASELF THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN MAE STYPKA (SOLE MBR)
(312) 623-6717
Entity
Organization
Contact information
Practice address
10725 S WESTERN AVE, CHICAGO, IL 60643-3135
(312) 623-6717
Mailing address
10725 S WESTERN AVE, CHICAGO, IL 60643-3135
(312) 623-6717
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/24/2019
Last updated
11/24/2019
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