MEDICARE: SEED TO SPROUT THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1518834761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEED TO SPROUT THERAPY

Provider Business Mailing Address
First Line	:	1307 W ADDISON ST APT 2B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-4674
Country	:	US
Telephone Number	:	773-231-7572
Fax Number	:

Provider Business Practice Location Address
First Line	:	1307 W ADDISON ST APT 2B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-4674
Country	:	US
Telephone Number	:	773-231-7572
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MANDI GINSBURG
Credential	:
Telephone Number	:	773-231-7572

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	10/22/2025

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Directions to “SEED TO SPROUT THERAPY ” Practice Location

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