MEDICARE: MARIE T STEIN THERAPY AND CONSULTING, 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1922812775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIE T STEIN THERAPY AND CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	1452 S PRAIRIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-2884
Country	:	US
Telephone Number	:	630-452-7201
Fax Number	:

Provider Business Practice Location Address
First Line	:	1452 S PRAIRIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-2884
Country	:	US
Telephone Number	:	312-447-9631
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	MARIE T STEIN
Credential	:	LCSW
Telephone Number	:	312-447-9631

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	02/03/2025

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