DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: THIRD EYE THERAPY CHICAGO LLC

MEDICARE: THIRD EYE THERAPY CHICAGO LLC
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
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YM0800XMental Health Counselor
4104100000XSocial Worker
51041C0700XClinical Social Worker
6101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1750924775
Entity Type Code : Organization
Provider Name (Legal Business Name) : THIRD EYE THERAPY CHICAGO LLC
Provider Business Mailing Address
First Line : 17 N WABASH AVE STE 515
Second Line :
City : CHICAGO
State : IL
Zip : 60602-4818
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17 N WABASH AVE STE 515
Second Line :
City : CHICAGO
State : IL
Zip : 60602-4818
Country : US
Telephone Number : 513-460-8217
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MIREN GUERECA
Credential :
Telephone Number : 313-312-5010
Provider Enumeration Date : 10/22/2019
Last Update Date : 05/22/2021

Similar Medicare Providers

1053566422 — MS. LISA A. WHITTINGHAM BRENNAN M.ED, LCPC
Practice Location Address:
17 N WABASH AVE STE 515
CHICAGO, IL
60602-4818
Practice Phone: 708-557-1980
Practice Fax:
1730624388 — JARED DAY LCPC
Practice Location Address:
17 N WABASH AVE STE 515
CHICAGO, IL
60602-4818
Practice Phone: 570-295-5980
Practice Fax:
1609341387 — BENEDICTO UY JR. L.AC
Practice Location Address:
17 N WABASH AVE STE 470
CHICAGO, IL
60602-4818
Practice Phone: 312-508-3955
Practice Fax:
1801460548 — DOKKO WELLNESS SERVICES LLC
Practice Location Address:
17 N WABASH AVE STE 515
CHICAGO, IL
60602-4818
Practice Phone: 773-809-3528
Practice Fax:
1235804014 — BRITTNEY MARIE LANOSGA
Practice Location Address:
17 N WABASH AVE STE 515
CHICAGO, IL
60602-4818
Practice Phone: 313-312-5010
Practice Fax:
1760151096 — DANIELLE ELIZABETH KALLIS
Practice Location Address:
17 N WABASH AVE STE 515
CHICAGO, IL
60602-4818
Practice Phone: 312-313-0098
Practice Fax:

Directions to “THIRD EYE THERAPY CHICAGO LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.