NPI 1184092413 · live from the CMS NPI Registry
Amanda Atkins, LLC
Marriage & Family Therapist in Chicago, IL. National Provider Identifier 1184092413, active.
NPI record
| NPI | 1184092413 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 4050 N Lincoln Ave, Chicago, IL 60618 |
| Practice phone | 312-401-6574 |
| Mailing address | 4503 N Western Ave, Chicago, IL 60625 |
| Enumerated | September 3, 2015 |
| Last updated | September 3, 2015 |
| Authorized official | Amanda Atkins, Owner/Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 166000968 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.