Healthcare Provider Details

I. General information

NPI: 1225949662
Provider Name (Legal Business Name): AMANDA FERRARI THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2104 W ROSCOE ST UNIT 3
CHICAGO IL
60618-6220
US

IV. Provider business mailing address

2104 W ROSCOE ST UNIT 3
CHICAGO IL
60618-6220
US

V. Phone/Fax

Practice location:
  • Phone: 815-735-5666
  • Fax:
Mailing address:
  • Phone: 815-735-5666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA FERRARI
Title or Position: PSYCHOTHERAPIST
Credential: LCSW
Phone: 773-340-0037