Speakeasy Therapy Pllc

LBN: Speakeasy Therapy Pllc
Speakeasy Therapy Pllc is an health care organization with primary practice located at 350 S Northwest Hwy Ste 300 , Park Ridge IL 60068-4262. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Speakeasy Therapy Pllc can be contacted via phone (847) 476-1341, or through Waterfield-Copeland, Melissa Marie via phone (847) 476-1341.

Contact Information

Primary practice address
350 S Northwest Hwy Ste 300 Park Ridge IL 60068-4262
Phone: (847) 476-1341
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waterfield-Copeland, Melissa Marie LCPC
Phone: (847) 476-1341

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1437884848
LBN Legal business name Speakeasy Therapy Pllc
DBA Doing business as
Authorized official Waterfield-Copeland, Melissa Marie LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2022
Last updated Jul 19th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437884848 NPPES
Other 1922536622 NPPES

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