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Mental Health Therapy, Sex Therapy Pllc

Social Worker

Behavioral Health & Social Service Providers

3505 N Kolmar Ave Fl 2, Chicago, IL 60641-3825

PECOS Enrollment

Based on the most recent information from CMS, provider Mental Health Therapy, Sex Therapy Pllc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1861165573
Provider Type
Organization
Full Name
Mental Health Therapy, Sex Therapy Pllc

Subpart
No
Enumeration Date
7/28/2021
Last Updated
7/28/2021

Contact Information

Practice Location

3505 N Kolmar Ave Fl 2, Chicago, IL 60641-3825

(872) 216-1763

Unlisted Fax

Mailing Location

3505 N Kolmar Ave Fl 2, Chicago, IL 60641-3825

(872) 216-1763

Unlisted Fax

Authorized Official

Skowronski, Stacey Lynn (Licensed Clinical Social Worker)

(872) 216-1763

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Mental Health Therapy, Sex Therapy Pllc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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Description

License

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