EMBRACE SEXUAL WELLNESS, LLC.


Address: 3701 N Ravenswood Ave Ste 302, Chicago, IL 60613-3878
Phone: 8478682018

EMBRACE SEXUAL WELLNESS, LLC. (NPI# 1386280634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386280634
Entity Type Organization
Organization Name EMBRACE SEXUAL WELLNESS, LLC.
Practice Address 3701 N Ravenswood Ave Ste 302
Chicago
IL 60613-3878
Practice Telephone 8478682018
Mailing Telephone 8478682018
Enumeration Date 2019-11-21
Last Update Date 2019-11-21
Authorized Official Name JENNIFER LITNER (DIRECTOR, FOUNDER)
Authorized Official Telephone 8478682018
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 3701 N RAVENSWOOD AVE STE 302
City CHICAGO
State IL
Zip Code 60613-3878

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1801366430 Stephanie A Dykema Psychologist 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 2018-11-27
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1730626011 Marc Fagan Psychologist 4101 N Ravenswood Ave., Chicago, IL 60613 2017-01-25
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City CHICAGO
Zip Code 60613

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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