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Contact Information

PROJECT VIDA, INC.
2659 S KEDVALE AVE
CHICAGO, IL60623-4322
 Phone: 773-277-2291
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for PROJECT VIDA INC · (Female)

NPI # 1285167577
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2017
Last updated 04/04/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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