MEDICARE: LEANING INTO LIVING COUNSELING

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	:	1376271908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEANING INTO LIVING COUNSELING

Provider Business Mailing Address
First Line	:	3450 N LAKE SHORE DR APT 3204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2863
Country	:	US
Telephone Number	:	954-298-4321
Fax Number	:	708-575-5752

Provider Business Practice Location Address
First Line	:	3450 N LAKE SHORE DR APT 3204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2863
Country	:	US
Telephone Number	:	954-298-4321
Fax Number	:	708-575-5752

Authorized Official
Title or Position	:	LICENSED CLINICAL PSYCHOLOGIST
Name	:	DR. NATHANIEL SCHAPIRO
Credential	:	PSY.D.
Telephone Number	:	954-298-4321

Provider Enumeration Date	:	08/11/2022
Last Update Date	:	08/11/2022

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Directions to “LEANING INTO LIVING COUNSELING ” Practice Location

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