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

Soulreconstruct Psychotherapy

Organization Mental Health Counselor · NPI 1083287924

Soulreconstruct Psychotherapy is a Mental Health Counselor in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1136 S Delano Ct W Ste B201
Chicago, IL 60605-3734
Phone: (312) 476-9682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1083287924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sierria Coleman — Owner/Lic Clini Coun · (615) 424-2761
NPI enumeratedJuly 19, 2021
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734

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