institution
Mizuno- Moore Psychotherapy & Consulting
Adolescent and Children Mental Health Clinic/Center in Chicago, Illinois
NPI 1245912021

Mizuno- Moore Psychotherapy & Consulting is an Adolescent and Children Mental Health Clinic/Center based in Chicago, IL and is specialized in Adolescent and Children Mental Health. Mizuno- Moore Psychotherapy & Consulting practices in Chicago, IL. The NPI Number for Mizuno- Moore Psychotherapy & Consulting is 1245912021 and holds a License No. (Illinois).

The current practice location address for Mizuno- Moore Psychotherapy & Consulting is 67 E Madison St Ste 1603A, Chicago, IL and can be reached out via phone at 847-372-1593.

Location: 67 E Madison St Ste 1603A, Chicago, IL, 60603-3095
institution
Provider Profile Details
NPI Number
1245912021
Provider Name
Mizuno- Moore Psychotherapy & Consulting
Credential
Provider Entity Type
Organization
Address
67 E Madison St Ste 1603A, Chicago, IL, 60603-3095
Phone Number
847-372-1593
Fax Number
Provider Enumeration Date
08/02/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497308175 01 IL NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
67 E Madison St Ste 1603A
City
State
Zip
60603-3095
Phone Number
847-372-1593
Fax Number
person
Provider Business Mailing Address Details
Address
67 E Madison St Ste 1603A
City
State
Zip
60603-3095
Phone Number
847-372-1593
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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