| Lt Therapy Pllc | |
|
3047 N Lincoln Ave Ste 409 Chicago IL 60657-4999 | |
| (847) 410-9125 | |
| Not Available |
| Full Name | Lt Therapy Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3047 N Lincoln Ave Ste 409, Chicago, Illinois |
| Authorized Official Name and Position | Robert Foreman (CREDENTIALING) |
| Authorized Official Contact | 6303130069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lt Therapy Pllc 3047 N Lincoln Ave Ste 409 Chicago IL 60657-4999 Ph: (847) 410-9125 | Lt Therapy Pllc 3047 N Lincoln Ave Ste 409 Chicago IL 60657-4999 Ph: (847) 410-9125 |
| NPI Number | 1104658616 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104658616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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