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NPI Code Detail

MEDICARE: EUNOIA INTEGRATIVE COUNSELING, INC

MEDICARE: EUNOIA INTEGRATIVE COUNSELING, INC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1407652399
Entity Type Code : Organization
Provider Name (Legal Business Name) : EUNOIA INTEGRATIVE COUNSELING, INC
Provider Business Mailing Address
First Line : 8745 W HIGGINS RD STE 110
Second Line :
City : CHICAGO
State : IL
Zip : 60631-2753
Country : US
Telephone Number : 708-320-8829
Fax Number :
Provider Business Practice Location Address
First Line : 8745 W HIGGINS RD STE 110
Second Line :
City : CHICAGO
State : IL
Zip : 60631-2753
Country : US
Telephone Number : 708-320-8829
Fax Number :
Authorized Official
Title or Position : OWNER/PSYCHOTHERAPIST
Name : MELISSA CHAVEZ
Credential : LCPC
Telephone Number : 708-320-8829
Provider Enumeration Date : 02/21/2025
Last Update Date : 02/21/2025

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Directions to “EUNOIA INTEGRATIVE COUNSELING, INC ” Practice Location

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