| Courtney Wells, Phd Llc Dba Pivot Psychological Services | |
|
4611 N Ravenswood Ave Ste 201 Chicago IL 60640-7573 | |
| (312) 868-0163 | |
| Not Available |
| Full Name | Courtney Wells, Phd Llc Dba Pivot Psychological Services |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 4611 N Ravenswood Ave Ste 201, Chicago, Illinois |
| Authorized Official Name and Position | Courtney Wells (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 3128680163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Wells, Phd Llc Dba Pivot Psychological Services 4611 N Ravenswood Ave Ste 201 Chicago IL 60640-7573 Ph: () - | Courtney Wells, Phd Llc Dba Pivot Psychological Services 4611 N Ravenswood Ave Ste 201 Chicago IL 60640-7573 Ph: (312) 868-0163 |
| NPI Number | 1437860343 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437860343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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