Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bodhi Tree Center for Holistic Therapy LLC

Organization Clinical Psychologist · NPI 1134837354

Bodhi Tree Center for Holistic Therapy LLC is a Clinical Psychologist in Chicago, Illinois. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 W Belmont Ave Ste 400D
Chicago, IL 60657-3200
Phone: (313) 307-4772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2623 E Pike St, Seattle, WA 98122-3149 — (313) 307-4772

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1134837354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Ballantyne — Owner · (313) 282-1156
Other names Bodhi Tree Center For Holistic Therapy Pllc
NPI enumeratedNovember 7, 2022
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address1300 W Belmont Ave Ste 400d, Chicago, IL 60657-3200

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