| Body Wisdom Counseling Pllc | |
|
1502 W Chicago Ave Ste 1 Chicago IL 60642 | |
| (872) 256-0962 | |
| Not Available |
| Full Name | Body Wisdom Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1502 W Chicago Ave Ste 1, Chicago, Illinois |
| Authorized Official Name and Position | Cherish Hamilton-tekautz (OWNER) |
| Authorized Official Contact | 8722560962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Body Wisdom Counseling Pllc 1502 W Chicago Ave Ste 1 Chicago IL 60642-5236 Ph: () - | Body Wisdom Counseling Pllc 1502 W Chicago Ave Ste 1 Chicago IL 60642 Ph: (872) 256-0962 |
| NPI Number | 1972092476 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972092476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.018323 (Illinois) | Primary |
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