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

Authentically Living Psychological Services, PLLC

Organization Clinical Psychologist · NPI 1477235067

Authentically Living Psychological Services, PLLC is a Clinical Psychologist in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

159 N Sangamon St Ste 200&300
Chicago, IL 60607-2201
Phone: (312) 600-3775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1477235067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Shaw — Owner · (312) 600-3775
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address159 N Sangamon St Ste 200&300, Chicago, IL 60607-2201

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