| Park Bench Psychotherapy, Inc. | |
|
155 N Michigan Ave Ste 500f Chicago IL 60601-7511 | |
| (630) 640-9580 | |
| Not Available |
| Full Name | Park Bench Psychotherapy, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 155 N Michigan Ave Ste 500f, Chicago, Illinois |
| Authorized Official Name and Position | Adam Lencioni (OWNER) |
| Authorized Official Contact | 6306409580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Bench Psychotherapy, Inc. 1647 N Artesian Ave Unit 1 Chicago IL 60647-5308 Ph: (630) 640-9580 | Park Bench Psychotherapy, Inc. 155 N Michigan Ave Ste 500f Chicago IL 60601-7511 Ph: (630) 640-9580 |
| NPI Number | 1700441458 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 05/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700441458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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