| Lichen Psychotherapy Services Pllc | |
|
3323 W Diversey Ave Ste 7 Chicago IL 60647-8582 | |
| (847) 220-4947 | |
| Not Available |
| Full Name | Lichen Psychotherapy Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3323 W Diversey Ave Ste 7, Chicago, Illinois |
| Authorized Official Name and Position | Hope Elizabeth Williams (OWNER/MANAGER) |
| Authorized Official Contact | 8472204947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lichen Psychotherapy Services Pllc 3323 W Diversey Ave Ste 7 Chicago IL 60647-8582 Ph: (847) 220-4947 | Lichen Psychotherapy Services Pllc 3323 W Diversey Ave Ste 7 Chicago IL 60647-8582 Ph: (847) 220-4947 |
| NPI Number | 1386478402 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386478402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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