HEALING AND FUERZA THERAPY LLC


Address: 3735 S Wallace St 1r, Chicago, IL 60609
Phone: 7738960219

HEALING AND FUERZA THERAPY LLC (NPI# 1144843152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144843152
Entity Type Organization
Organization Name HEALING AND FUERZA THERAPY LLC
Practice Address 3735 S Wallace St 1r
Chicago
IL 60609
Mailing Address 1440 W Taylor St # 319
Chicago
IL 60607-4623
Practice Telephone 7738960219
Mailing Telephone 7738960219
Enumeration Date 2020-05-26
Last Update Date 2020-05-26
Authorized Official Name ALEXIS LOPEZ-PALOMAR (OWNER/THERAPIST)
Authorized Official Telephone 7738960219
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 3735 S WALLACE ST 1R
City CHICAGO
State IL
Zip Code 60609

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1437295482 Rolando A Lara Internal Medicine 1708 W 47th St, Chicago, IL 60609 2007-01-29
1497765168 Judith H Mcdevitt Nurse Practitioner 734 W. 47th Street, Ihc South, Chicago, IL 60609 2006-08-08
1790795474 Lorrita Marie Verhey Nurse Practitioner 734 W. 47th Street South, Ihc, Chicago, IL 60609 2006-08-08
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60609

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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