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Imole Psychological Services
Adolescent and Children Mental Health Clinic/Center in Chicago, Illinois
NPI 1700561859

Imole Psychological Services is an Adolescent and Children Mental Health Clinic/Center based in Chicago, IL and is specialized in Adolescent and Children Mental Health. Imole Psychological Services practices in Chicago, IL. The NPI Number for Imole Psychological Services is 1700561859 and holds a License No. (Illinois).

The current practice location address for Imole Psychological Services is 2622 W Cermak Rd Apt 1, Chicago, IL and can be reached out via phone at 312-953-4924.

Location: 2622 W Cermak Rd Apt 1, Chicago, IL, 60607-4907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700561859
Provider Name
Imole Psychological Services
Credential
Provider Entity Type
Organization
Address
2622 W Cermak Rd Apt 1, Chicago, IL, 60607-4907
Phone Number
312-953-4924
Fax Number
Provider Enumeration Date
06/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2622 W Cermak Rd Apt 1
City
Chicago
State
Illinois
Zip
60608-6172
Phone Number
312-953-4924
Fax Number
person
Provider Business Mailing Address Details
Address
2622 W Cermak Rd Apt 1
City
Chicago
State
Illinois
Zip
60608-6172
Phone Number
312-953-4924
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
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 4
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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