Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Radical Authenticity & Wellness Psychotherapy Group LLC

Organization Psychologist · NPI 1538875687

Radical Authenticity & Wellness Psychotherapy Group LLC is a Psychologist in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
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

1554 W Hollywood Ave
Chicago, IL 60660-4399
Phone: (434) 284-3806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Clinical Psychologist Taxonomy 103TC0700X
Counseling Psychologist Taxonomy 103TC1900X

Record details

NPI number1538875687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Tatum — President · (434) 284-3806
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address5754 N Winthrop Ave Apt 3, Chicago, IL 60660-5148

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