Black Tie Therapy

LBN: Black Tie Therapy
Black Tie Therapy is an health care organization with primary practice located at 2232 N Wayne Ave Apt 1F , Chicago IL 60614-8937. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Black Tie Therapy can be contacted via phone (773) 217-8426, or through Nelson, Myron via phone (216) 832-1907.

Contact Information

Primary practice address
2232 N Wayne Ave Apt 1F Chicago IL 60614-8937
Phone: (773) 217-8426
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Myron LCPC
Phone: (216) 832-1907

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1073156196
LBN Legal business name Black Tie Therapy
DBA Doing business as
Authorized official Nelson, Myron LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2019
Last updated Sep 4th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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