Black Excellence Psychotherapy PLLC
Black Excellence Psychotherapy PLLC is an Adult Mental Health Clinic/Center in Lake Bluff, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
30047 N Waukegan RdLake Bluff, IL 60044-1023
Phone: (718) 342-4986
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|---|
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
Record details
| NPI number | 1700539681 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Fitzgerald Ajoku — Founder · (914) 609-1183 |
| NPI enumerated | January 31, 2022 |
| Last updated in NPPES | October 16, 2022 |
| Certification date | October 16, 2022 |
| Mailing address | 30047 N Waukegan Rd, Lake Bluff, IL 60044-1023 |