Healthcare Provider Details

I. General information

NPI: 1326903220
Provider Name (Legal Business Name): OAK AND MAGNOLIA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 W CHICAGO AVE APT 309
CHICAGO IL
60654-3207
US

IV. Provider business mailing address

8000 LINCOLN AVE APT 920
SKOKIE IL
60077-1407
US

V. Phone/Fax

Practice location:
  • Phone: 818-509-4422
  • Fax:
Mailing address:
  • Phone: 818-509-4422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRIA SARAH KATES
Title or Position: LICENSED MENTAL HEALTH THERAPIST
Credential: LMHC
Phone: 818-509-4422