| Lynnshymanlcsw,llc | |
|
2530 Crawford Ave Ste 115 Evanston IL 60201-4954 | |
| (847) 308-8738 | |
| Not Available |
| Full Name | Lynnshymanlcsw,llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2530 Crawford Ave Ste 115, Evanston, Illinois |
| Authorized Official Name and Position | Lynn Shyman (OWNER) |
| Authorized Official Contact | 8473088738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynnshymanlcsw,llc 2530 Crawford Ave Ste 115 Evanston IL 60201-4954 Ph: (847) 308-8738 | Lynnshymanlcsw,llc 2530 Crawford Ave Ste 115 Evanston IL 60201-4954 Ph: (847) 308-8738 |
| NPI Number | 1578172508 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 07/27/2020 |
| Certification Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578172508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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