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Embodied Practice Therapy, Pllc
Adolescent and Children Mental Health Clinic/Center in Evanston, Illinois
NPI 1568197531

Embodied Practice Therapy, Pllc is an Adolescent and Children Mental Health Clinic/Center based in Evanston, IL and is specialized in Adolescent and Children Mental Health. Embodied Practice Therapy, Pllc practices in Evanston, IL. The NPI Number for Embodied Practice Therapy, Pllc is 1568197531 and holds a License No. (Illinois).

The current practice location address for Embodied Practice Therapy, Pllc is 751 Sherman Ave Apt 3, Evanston, IL and can be reached out via phone at 845-886-4585.

Location: 751 Sherman Ave Apt 3, Evanston, IL, 60202-4357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568197531
Provider Name
Embodied Practice Therapy, Pllc
Credential
Provider Entity Type
Organization
Address
751 Sherman Ave Apt 3, Evanston, IL, 60202-4357
Phone Number
845-886-4585
Fax Number
Provider Enumeration Date
07/22/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
751 Sherman Ave Apt 3
City
Evanston
State
Illinois
Zip
60202-4357
Phone Number
845-886-4585
Fax Number
person
Provider Business Mailing Address Details
Address
751 Sherman Ave Apt 3
City
Evanston
State
Illinois
Zip
60202-4357
Phone Number
845-886-4585
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
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
261QM0855X
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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