Embodied Practice Therapy, Pllc

LBN: Embodied Practice Therapy, Pllc
Embodied Practice Therapy, Pllc is an health care organization with primary practice located at 751 Sherman Ave Apt 3 , Evanston IL 60202-4357. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Embodied Practice Therapy, Pllc can be contacted via phone (845) 886-4585, or through Hudgens, Rachel E via phone (847) 868-4585.

Contact Information

Primary practice address
751 Sherman Ave Apt 3 Evanston IL 60202-4357
Phone: (845) 886-4585
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hudgens, Rachel E Licensed Clinical Social Worker (LCSW)
Phone: (847) 868-4585

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1568197531
LBN Legal business name Embodied Practice Therapy, Pllc
DBA Doing business as
Authorized official Hudgens, Rachel E Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2022
Last updated Jul 3rd, 2023 - about last year

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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