Organization
HAINLINE THERAPEUTIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL HAINLINE LCSW (SOLE MEMBER)
(312) 320-5665
Entity
Organization
Contact information
Practice address
1525 E 55TH ST # 301B, CHICAGO, IL 60615-5512
(312) 572-9866
Mailing address
2229 N KIMBALL AVE APT 3E, CHICAGO, IL 60647-3545
(312) 320-5665
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/13/2020
Last updated
12/05/2020
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