Dr Damita Larue Psychology Pllc

LBN: Dr Damita Larue Psychology Pllc
Dr Damita Larue Psychology Pllc is an health care organization with primary practice located at 1417 W Hollywood Ave Apt 1 , Chicago IL 60660-4483. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Dr Damita Larue Psychology Pllc can be contacted via phone (907) 764-2291, or through Larue, Damita Sunwolf via phone (907) 764-2291.

Contact Information

Primary practice address
1417 W Hollywood Ave Apt 1 Chicago IL 60660-4483
Phone: (907) 764-2291
Fax: (773) 634-8112
Website:
Map and Directions
Authorized official contact:
Name: Larue, Damita Sunwolf PSYD
Phone: (907) 764-2291

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Health 103TH0004X

Profile Details

NPI number 1255197042
LBN Legal business name Dr Damita Larue Psychology Pllc
DBA Doing business as
Authorized official Larue, Damita Sunwolf PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2024
Last updated Feb 28th, 2024 - about 10 months 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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