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NPI Code Detail

MEDICARE: PATTERNS AND THREADS PSYCHOTHERAPY & CONSULTATION PLLC

MEDICARE: PATTERNS AND THREADS PSYCHOTHERAPY & CONSULTATION 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)248.001630IL

General Provider Information

NPI Number : 1962916809
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATTERNS AND THREADS PSYCHOTHERAPY & CONSULTATION PLLC
Provider Business Mailing Address
First Line : 2644 N CENTRAL PARK AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-1102
Country : US
Telephone Number : 773-484-7948
Fax Number :
Provider Business Practice Location Address
First Line : 3020 N KIMBALL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-6812
Country : US
Telephone Number : 773-484-7948
Fax Number :
Authorized Official
Title or Position : OWNER/CLINICAL SOCIAL WORKER
Name : MICHELLE LYN PARIS
Credential : LCSW
Telephone Number : 773-484-7948
Provider Enumeration Date : 11/30/2017
Last Update Date : 05/06/2025

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Directions to “PATTERNS AND THREADS PSYCHOTHERAPY & CONSULTATION PLLC ” Practice Location

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