| Bodhi Tree Center For Holistic Therapy Llc | |
|
1300 W Belmont Ave Ste 400d Chicago IL 60657-3200 | |
| (313) 307-4772 | |
| Not Available |
| Full Name | Bodhi Tree Center For Holistic Therapy Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1300 W Belmont Ave Ste 400d, Chicago, Illinois |
| Authorized Official Name and Position | Robert Ballantyne (OWNER) |
| Authorized Official Contact | 3132821156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodhi Tree Center For Holistic Therapy Llc 1300 W Belmont Ave Ste 400d Chicago IL 60657-3200 Ph: () - | Bodhi Tree Center For Holistic Therapy Llc 1300 W Belmont Ave Ste 400d Chicago IL 60657-3200 Ph: (313) 307-4772 |
| NPI Number | 1134837354 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134837354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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