BLACK TIE THERAPY
NPI 1073156196
Community/Behavioral Health in Chicago, IL
About Black Tie Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK TIE THERAPY (NPI 1073156196) is a healthcare organization registered as a community/behavioral health in Chicago, Illinois and active in the NPI registry since October 2019. The organization lists Myron Nelson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073156196, enumerated as an "organization" on October 21, 2019.
The provider is located at 2232 N WAYNE AVE APT 1F CHICAGO, IL 60614 and the phone number is (773) 217-8426.
Community/Behavioral Health with taxonomy code 251S00000X.