DRIVE PSYCHOTHERAPY PLLC
NPI 1619767811
Counselor - Mental Health in Chicago, IL
Active since May 09, 2025
About Drive Psychotherapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DRIVE PSYCHOTHERAPY PLLC (NPI 1619767811) is a healthcare organization registered as a mental health in Chicago, Illinois and active in the NPI registry since May 2025. The organization lists Robert Foreman, Credentialing, as its authorized official.
NPPES Registry Identity
NPI1619767811
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameDRIVE PSYCHOTHERAPY PLLC
Location Address4619 N RAVENSWOOD AVE # 104-DChicago, IL 60640-4580
Mailing Address4619 N Ravenswood Ave Ste 104-dChicago, IL 60640-4580 · (901) 482-8052
Phone(847) 933-0051
Organization SubpartNo
Authorized OfficialRobert ForemanCredentialing · (630) 313-0069
Enumeration DateMay 9, 2025
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1619767811 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4619 N RAVENSWOOD AVE # 104-D, Chicago, IL 60640
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619767811, enumerated as an "organization" on May 09, 2025.
The provider is located at 4619 N RAVENSWOOD AVE # 104-D CHICAGO, IL 60640 and the phone number is (847) 933-0051.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
