| Coral Heart Counseling, Llc | |
|
1802 S State St Unit 104 Chicago IL 60616-1633 | |
| (773) 790-3738 | |
| Not Available |
| Full Name | Coral Heart Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1802 S State St Unit 104, Chicago, Illinois |
| Authorized Official Name and Position | Olivia Taylor (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7737903738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Heart Counseling, Llc 661 W Lake St Ste 2s Chicago IL 60661-1034 Ph: (773) 790-3738 | Coral Heart Counseling, Llc 1802 S State St Unit 104 Chicago IL 60616-1633 Ph: (773) 790-3738 |
| NPI Number | 1861088643 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 12/16/2022 |
| Certification Date | 12/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861088643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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