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EMBOLDEN THERAPY
NPI 1003778317
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since November 25, 2025
811 W 15TH PL UNIT 503, CHICAGO, IL 60608(773) 217-9371 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Embolden Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMBOLDEN THERAPY (NPI 1003778317) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since November 2025. The organization lists Emily Deaver, Clinical Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1003778317
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEMBOLDEN THERAPY
Location Address811 W 15TH PL UNIT 503Chicago, IL 60608-1641
Mailing Address811 W 15th Pl Unit 503Chicago, IL 60608-1641 · (773) 217-9371
Phone(773) 217-9371
Organization SubpartNo
Authorized OfficialEmily DeaverClinical Professional Counselor · (773) 217-9371
Enumeration DateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1003778317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
811 W 15TH PL UNIT 503, Chicago, IL 60608
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Embolden Therapy's NPI number?

The NPI number for Embolden Therapy is 1003778317. It was assigned to this organization in the NPPES registry on November 25, 2025.

Where is Embolden Therapy located?

Embolden Therapy is located at 811 W 15th Pl Unit 503, Chicago, IL 60608. The listed phone number is (773) 217-9371.

What is Embolden Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Embolden Therapy was last updated on November 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.