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Contact Information

AMANDA E. MITCHELL THERAPY SERVICES, LLC
3806 W IRVING PARK RD # STORE
CHICAGO, IL60618-3139
 Phone: 773-850-9046
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for AMANDA E. MITCHELL THERAPY SERVICES, LLC

NPI # 1548613599
LBN Legal business name AMANDA E. MITCHELL THERAPY SERVICES, LLC
Authorized official AMANDA MITCHELL - (OWNER/PSYCHOTHERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2016
Last updated 07/14/2016 - About 10 years ago
Identifiers
IL License # 180.009317
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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