Soul Werk Cafe Pllc

LBN: Soul Werk Cafe Pllc
Soul Werk Cafe Pllc is an health care organization with primary practice located at 4137 Sauk Trl Ste 217 , Richton Park IL 60471-1253. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Soul Werk Cafe Pllc can be contacted via phone (708) 580-6042, or through Ford, Shaniqua via phone (773) 574-2570.

Contact Information

Primary practice address
4137 Sauk Trl Ste 217 Richton Park IL 60471-1253
Phone: (708) 580-6042
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ford, Shaniqua Licensed Clinical Social Worker (LCSW)
Phone: (773) 574-2570

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1750986279
LBN Legal business name Soul Werk Cafe Pllc
DBA Doing business as
Authorized official Ford, Shaniqua Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2020
Last updated May 7th, 2024 - about 4 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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