| Solidarity Therapy Services Llc | |
|
733 Dobson St Apt 2s Evanston IL 60202-3977 | |
| (773) 827-6445 | |
| Not Available |
| Full Name | Solidarity Therapy Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 733 Dobson St Apt 2s, Evanston, Illinois |
| Authorized Official Name and Position | Kelli Blanchard (OWNER/BEHAVIORAL HEALTH THERAPIST) |
| Authorized Official Contact | 7738276445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solidarity Therapy Services Llc 733 Dobson St Apt 2s Evanston IL 60202-3977 Ph: (773) 827-6445 | Solidarity Therapy Services Llc 733 Dobson St Apt 2s Evanston IL 60202-3977 Ph: (773) 827-6445 |
| NPI Number | 1801420971 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801420971 | NPI | - | NPPES |
| 1972710291 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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