Fandom Behavioral Health Clinic PLLC
Fandom Behavioral Health Clinic PLLC is a Professional Counselor 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.
Practice location Address checks out
564 W Randolph St Unit 820Chicago, IL 60661-2218
Phone: (708) 789-5669
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
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1942913280 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Woods — Professional Counselor · (803) 719-3237 |
| NPI enumerated | January 2, 2023 |
| Last updated in NPPES | March 3, 2023 |
| Certification date | March 3, 2023 |
| Mailing address | 564 W Randolph St Unit 820, Chicago, IL 60661-2218 |
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