Healthcare Provider Details

I. General information

NPI: 1043148612
Provider Name (Legal Business Name): MHW PSYCHLAW SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5113 S HARPER AVE STE 2C
CHICAGO IL
60615-4119
US

IV. Provider business mailing address

5113 S HARPER AVE STE 2C
CHICAGO IL
60615-4119
US

V. Phone/Fax

Practice location:
  • Phone: 312-810-7793
  • Fax:
Mailing address:
  • Phone: 312-810-7793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE HOY-WATKINS
Title or Position: PRESIDENT
Credential: PSY.D., ABPP
Phone: 312-810-7793