Organization
AMY LYNN WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LYNN LCPC, ATR (PRESIDENT & CEO)
(773) 746-7429
Entity
Organization
Contact information
Practice address
3139 N LINCOLN AVE, SUITE 202, CHICAGO, IL 60657-3114
(773) 746-7429
Mailing address
3139 N LINCOLN AVE, SUITE 202, CHICAGO, IL 60657-3114
(773) 746-7429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-006965
IL
1041C0700X
Clinical Social Worker
149.014543
IL
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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