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Contact Information

VELVET & VINE LLC
1357 W ARGYLE ST APT 3C
CHICAGO, IL60640-8412
 Phone: 817-896-2707
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Neuropsychologist

103G00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for VELVET & VINE LLC

NPI # 1619767670
LBN Legal business name VELVET & VINE LLC
Authorized official BENJAMIN SAUER - (PRACTICE MANAGEMENT COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2025
Last updated 05/12/2025 - More than a year 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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