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

Embolden Therapy

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1003778317

Embolden Therapy is a Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

811 W 15th Pl Unit 503
Chicago, IL 60608-1641
Phone: (773) 217-9371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1003778317
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Deaver — Clinical Professional Counselor · (773) 217-9371
NPI enumeratedNovember 25, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address811 W 15th Pl Unit 503, Chicago, IL 60608-1641

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