| Long Thread Psychotherapy Inc. | |
|
706 Seward St Evanston IL 60202-2946 | |
| (847) 331-2178 | |
| Not Available |
| Full Name | Long Thread Psychotherapy Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 706 Seward St, Evanston, Illinois |
| Authorized Official Name and Position | Lisa M Dinnocenzo (OWNER) |
| Authorized Official Contact | 8473312178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Thread Psychotherapy Inc. 1555 Sherman Ave # 151 Evanston IL 60201-4421 Ph: (847) 331-2178 | Long Thread Psychotherapy Inc. 706 Seward St Evanston IL 60202-2946 Ph: (847) 331-2178 |
| NPI Number | 1124795992 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 08/30/2021 |
| Certification Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124795992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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