Dandelion Therapeutic Art Center
Counselor (Mental Health)

Address: 2630 W Fletcher St Unit 1, Chicago, IL 60618-7110
Phone: 8476518643

Dandelion Therapeutic Art Center (NPI# 1992342422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1992342422
Entity Type Organization
Organization Name DANDELION THERAPEUTIC ART CENTER
Practice Address 2630 W Fletcher St Unit 1
Chicago
IL 60618-7110
Practice Telephone 8476518643
Mailing Address 2630 W Fletcher St Unit 1
Chicago
IL 60618-7110
Mailing Telephone 8476518643
Authorized Official Name Mrs. Caroline Tye (OWNER/THERAPIST)
Authorized Official Telephone 8476518643
Authorized Official Credential LCPC, ATR-BC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-12-03
Last Update Date 2019-12-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Dandelion Art Studio Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1861040305 Teresa Ruvalcaba Counselor 3819 N Whipple St, Chicago, IL 60618-3521 2019-08-28
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Office Location

Street Address 2630 W FLETCHER ST UNIT 1
City CHICAGO
State IL
Zip Code 60618-7110

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NPI Name Taxonomy Address Enumeration
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1508380486 Callie Weinberg Social Worker 2945 N Damen Ave, 1s, Chicago, IL 60618 2017-08-01
1275062697 Melissa Ann Prest Dietitian, Registered 3258 W Warner Ave, Apt 2, Chicago, IL 60618 2017-06-08
1871951038 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 4315 N. Lincoln Avenue, Chicago, IL 60618 2016-02-03
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Competitor

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City CHICAGO
Zip Code 60618

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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