| Gravity And Grace Psychotherapy, Pllc | |
|
1305 S Michigan Ave Apt 602 Chicago IL 60605-3398 | |
| (440) 417-2514 | |
| Not Available |
| Full Name | Gravity And Grace Psychotherapy, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1305 S Michigan Ave Apt 602, Chicago, Illinois |
| Authorized Official Name and Position | Edie Hitchcock (OWNER) |
| Authorized Official Contact | 4404172514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gravity And Grace Psychotherapy, Pllc 1305 S Michigan Ave Apt 602 Chicago IL 60605-3398 Ph: (440) 417-2514 | Gravity And Grace Psychotherapy, Pllc 1305 S Michigan Ave Apt 602 Chicago IL 60605-3398 Ph: (440) 417-2514 |
| NPI Number | 1992306518 |
|---|---|
| Provider Enumeration Date | 11/02/2020 |
| Last Update Date | 11/02/2020 |
| Certification Date | 11/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992306518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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