| Unfettered Psychotherapy & Consulting Llc | |
|
2650 W Montrose Ave Ste 302 Chicago IL 60618-1674 | |
| (773) 450-6363 | |
| Not Available |
| Full Name | Unfettered Psychotherapy & Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2650 W Montrose Ave Ste 302, Chicago, Illinois |
| Authorized Official Name and Position | Lisa Couser (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7734506363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unfettered Psychotherapy & Consulting Llc 6123 N Wolcott Ave Chicago IL 60660-2323 Ph: () - | Unfettered Psychotherapy & Consulting Llc 2650 W Montrose Ave Ste 302 Chicago IL 60618-1674 Ph: (773) 450-6363 |
| NPI Number | 1134978679 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Medicare PECOS PAC ID | 3476070244 |
|---|---|
| Medicare Enrollment ID | O20250506000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134978679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa L Couser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043482144 PECOS PAC ID: 4587711247 Enrollment ID: I20090415000300 |
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