Healthcare Provider Details

I. General information

NPI: 1831021484
Provider Name (Legal Business Name): AUDREY ADAMS THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 W IRVING PARK RD STE 302
CHICAGO IL
60613-3011
US

IV. Provider business mailing address

840 W IRVING PARK RD STE 302
CHICAGO IL
60613-3011
US

V. Phone/Fax

Practice location:
  • Phone: 773-946-5980
  • Fax:
Mailing address:
  • Phone: 773-946-5980
  • 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: AUDREY ADAMS
Title or Position: THERAPIST
Credential: LCPC
Phone: 773-946-5980