MEDICARE: GUIDANCE ANXIETY TREATMENT PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1285472100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDANCE ANXIETY TREATMENT PLLC

Provider Business Mailing Address
First Line	:	3332 N KENMORE AVE APT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-8779
Country	:	US
Telephone Number	:	248-470-7580
Fax Number	:

Provider Business Practice Location Address
First Line	:	3332 N KENMORE AVE APT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-8779
Country	:	US
Telephone Number	:	248-470-7580
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST, ORGANIZER
Name	:	DR. KATHERINE RHODES
Credential	:	PSY.D.
Telephone Number	:	248-470-7580

Provider Enumeration Date	:	07/16/2024
Last Update Date	:	07/16/2024

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