Healthcare Provider Details

I. General information

NPI: 1386508323
Provider Name (Legal Business Name): THREE CEDAR TREES PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 W INSTITUTE PL STE 500
CHICAGO IL
60610-8792
US

IV. Provider business mailing address

213 W INSTITUTE PL STE 500
CHICAGO IL
60610-8792
US

V. Phone/Fax

Practice location:
  • Phone: 773-236-7959
  • Fax:
Mailing address:
  • Phone: 773-236-7959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: REMINGTON MITCHELL
Title or Position: PSYCHOTHERAPIST/OWNER
Credential: MA,LCPC
Phone: 773-236-7959