Organization
CORAL HEART COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA TAYLOR LCSW (PSYCHOTHERAPIST)
(773) 790-3738
Entity
Organization
Contact information
Practice address
320 W OHIO ST STE 3W, CHICAGO, IL 60654-7887
(708) 433-9363
Mailing address
320 W OHIO ST STE 3W, CHICAGO, IL 60654-7887
(708) 433-9363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/16/2020
Last updated
12/13/2024
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