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

Retake on Life

Organization Professional Counselor · NPI 1295379279

Retake on Life is a Professional Counselor in Chicago, Illinois. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

9415 S Western Ave
Chicago, IL 60643-6700
Phone: (773) 998-7848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1295379279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamillah Davis — Licensed Clin Prof Counselor · (773) 998-7848
Other names Jamillah Davis
NPI enumeratedNovember 1, 2019
Last updated in NPPESNovember 1, 2019
Mailing address8008 S Loomis Blvd, Chicago, IL 60620-3828

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