Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amethyst Therapy PC

Organization Counselor · NPI 1770955163

Amethyst Therapy PC is a Counselor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1809 W 95th St
Chicago, IL 60643-1103
Phone: (708) 568-1770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 180007546 (IL)

Record details

NPI number1770955163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lakeshia Sumrall-Carr — Owner · (773) 793-3386
NPI enumeratedOctober 24, 2015
Last updated in NPPESOctober 24, 2015
Mailing address9128 S Troy Ave, Evergreen Park, IL 60805-1628

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