Inner Wild Therapy Pllc

LBN: Inner Wild Therapy Pllc
Inner Wild Therapy Pllc is an health care organization with primary practice located at 840 W Irving Park Rd # 302 , Chicago IL 60613-3011. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Inner Wild Therapy Pllc can be contacted via phone (872) 269-4203, or through Randle, Jodi via phone (773) 818-5875.

Contact Information

Primary practice address
840 W Irving Park Rd # 302 Chicago IL 60613-3011
Phone: (872) 269-4203
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Randle, Jodi LCPC
Phone: (773) 818-5875

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1356195150
LBN Legal business name Inner Wild Therapy Pllc
DBA Doing business as
Authorized official Randle, Jodi LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2024
Last updated Apr 16th, 2024 - about 2 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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