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SOULRECONSTRUCT PSYCHOTHERAPY
NPI 1083287924
Counselor - Mental Health in Chicago, IL

Active since July 19, 2021
1136 S DELANO CT W STE B201, CHICAGO, IL 60605(312) 476-9682 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Soulreconstruct Psychotherapy NPPES

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

SOULRECONSTRUCT PSYCHOTHERAPY (NPI 1083287924) is a healthcare organization registered as a mental health in Chicago, Illinois and active in the NPI registry since July 2021. The organization lists Sierria Channing Coleman, Owner/lic Clini Coun, as its authorized official.

NPPES Registry Identity

NPI1083287924
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSOULRECONSTRUCT PSYCHOTHERAPY
Location Address1136 S DELANO CT W STE B201Chicago, IL 60605-3734
Mailing Address1136 S Delano Ct W Ste B201Chicago, IL 60605-3734 · (312) 476-9682
Phone(312) 476-9682
Organization SubpartNo
Authorized OfficialSierria Channing ColemanOwner/lic Clini Coun · (615) 424-2761
Enumeration DateJuly 19, 2021
NPPES CertifiedJuly 19, 2021
✔ NPI 1083287924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1136 S DELANO CT W STE B201, Chicago, IL 60605
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDICE LOVE
Social Worker (Clinical)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Cook County (773) 892-2353
LOVE AT HOME CARE LLC
In Home Supportive Care
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Cook County (312) 300-2954
KRISTEN WIDING LSW
Social Worker
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Cook County (773) 377-5577
BRIANA PLAISIMOND
Counselor (Mental Health)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Cook County (312) 725-9980
JACQUELYN GEORGEN LCSW
Social Worker (Clinical)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Cook County (773) 377-5577
MEL A DERMODY H.I.D.
Hearing Instrument Specialist
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Cook County (312) 528-3233
LAUREN ALEXANDER LCPC
Counselor (Mental Health)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Cook County (872) 256-3153
LILLAR CHEVON BURTON
Counselor
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Cook County (708) 654-1929

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 Soulreconstruct Psychotherapy's NPI number?

The NPI number for Soulreconstruct Psychotherapy is 1083287924. It was assigned to this organization in the NPPES registry on July 19, 2021.

Where is Soulreconstruct Psychotherapy located?

Soulreconstruct Psychotherapy is located at 1136 S Delano Ct W Ste B201, Chicago, IL 60605. The listed phone number is (312) 476-9682.

What is Soulreconstruct Psychotherapy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Soulreconstruct Psychotherapy was last updated on July 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.