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

Longboarders LLC

Organization Adult Mental Health Clinic/Center · NPI 1245912021

Longboarders LLC is an Adult Mental Health Clinic/Center in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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

67 E Madison St Ste 1603A
Chicago, IL 60603-3095
Phone: (847) 372-1593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1245912021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taylor Ann Moore — Founder, Director · (847) 372-1593
Other names Mizuno- Moore Psychotherapy & Consulting- Tower 22; Mizuno- Moore Psychotherapy & Consulting- Tower 22
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address67 E Madison St Ste 1603a, Chicago, IL 60603-3095

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