| Lake Park Counseling, Pc | |
|
1525 E 53rd St Ste 933 Chicago IL 60615-4572 | |
| (773) 970-9708 | |
| Not Available |
| Full Name | Lake Park Counseling, Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1525 E 53rd St Ste 933, Chicago, Illinois |
| Authorized Official Name and Position | Emma Coate (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7739709708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Park Counseling, Pc 1438 E 55th St Chicago IL 60615-5420 Ph: (773) 970-9708 | Lake Park Counseling, Pc 1525 E 53rd St Ste 933 Chicago IL 60615-4572 Ph: (773) 970-9708 |
| NPI Number | 1164980173 |
|---|---|
| Provider Enumeration Date | 03/08/2019 |
| Last Update Date | 07/16/2022 |
| Certification Date | 07/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164980173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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