LIVING ROOTS PSYCHOTHERAPY, LLC


Address: 4310 N Spaulding Ave, Chicago, IL 60618
Phone: 3123713115

LIVING ROOTS PSYCHOTHERAPY, LLC (NPI# 1962997064) 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) 1962997064
Entity Type Organization
Organization Name LIVING ROOTS PSYCHOTHERAPY, LLC
Practice Address 4310 N Spaulding Ave
Chicago
IL 60618
Mailing Address 4310 N Spaulding Ave
Chicago
IL 60618-1237
Practice Telephone 3123713115
Mailing Telephone 3123713115
Enumeration Date 2018-06-30
Last Update Date 2018-07-23
Authorized Official Name SARAH MARIA GUTIERREZ (OWNER)
Authorized Official Telephone 3123713115
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 4310 N SPAULDING AVE
City CHICAGO
State IL
Zip Code 60618

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1962920116 Alif Muhammad Counselor 3819 W Cornelia Ave #2, Chicago, IL 60618 2017-09-07
1417471178 Daniel Lee Mcmillan Counselor 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 2017-08-03
1508380486 Callie Weinberg Social Worker 2945 N Damen Ave, 1s, Chicago, IL 60618 2017-08-01
1275062697 Melissa Ann Prest Dietitian, Registered 3258 W Warner Ave, Apt 2, Chicago, IL 60618 2017-06-08
1871951038 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 4315 N. Lincoln Avenue, Chicago, IL 60618 2016-02-03
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245831569 Chicago Psychiatric LLC Clinic/Center 800 W Cornelia Ave Apt 303, Chicago, IL 60657-2086 2020-11-03
1184223133 Kevin P. Mcdunn, Psyd, LLC Clinic/Center 605 W Madison St Apt 2001, Chicago, IL 60661-2469 2020-10-21
1124634852 Prosper Counseling Services Clinic/Center 808 W Junior Ter Apt 303, Chicago, IL 60613-1657 2020-09-17
1265040760 Orchid Counseling Chicago Clinic/Center 451 W Melrose St Apt 610, Chicago, IL 60657-3826 2020-07-21
1164040630 Sunshine Therapy Pllc Clinic/Center 3328 N Bell Ave, Chicago, IL 60618-6204 2020-07-10
1437776879 Vesna Healing, LLC Clinic/Center 1225 W Morse Ave Apt 203, Chicago, IL 60626-5675 2020-07-01
1144843152 Healing and Fuerza Therapy LLC Clinic/Center 3735 S Wallace St 1r, Chicago, IL 60609 2020-05-26
1801418074 Sana Healing Collective Clinic/Center 405 N. Wabash Street, Chicago, IL 60611 2020-05-11
1437771979 Healthy Mind and Body LLC Clinic/Center 10540 S Western Ave Ste 507, Chicago, IL 60643-2529 2020-05-07
1346877412 Mind Body Center Clinic/Center 2551 N Clark St Ste 301, Chicago, IL 60614-7732 2020-03-26
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Competitor

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City CHICAGO
Zip Code 60618

Improve Information

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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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