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Contact Information

COURTNEY WELLS, PHD LLC DBA PIVOT PSYCHOLOGICAL SERVICES
4611 N RAVENSWOOD AVE STE 201
CHICAGO, IL60640-7573
 Phone: 312-868-0163
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for COURTNEY WELLS, PHD LLC DBA PIVOT PSYCHOLOGICAL SERVICES

NPI Number 1437860343
LBN Legal business name COURTNEY WELLS, PHD LLC DBA PIVOT PSYCHOLOGICAL SERVICES
Authorized official COURTNEY WELLS - (OWNER/PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2022
Last updated 12/12/2022 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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