| Niki Prugh Lmft Inc. | |
|
4425 W Hollywood Ave Chicago IL 60646-5903 | |
| (773) 474-9082 | |
| Not Available |
| Full Name | Niki Prugh Lmft Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4425 W Hollywood Ave, Chicago, Illinois |
| Authorized Official Name and Position | Kimberly Niccole Prugh (OWNER/MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 7734749082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Niki Prugh Lmft Inc. 4425 W Hollywood Ave Chicago IL 60646-5903 Ph: (773) 474-9082 | Niki Prugh Lmft Inc. 4425 W Hollywood Ave Chicago IL 60646-5903 Ph: (773) 474-9082 |
| NPI Number | 1295322493 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Certification Date | 12/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295322493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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