Effloresce Therapy, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EFFLORESCE THERAPY, INC

Practice address

1735 W Diversey Pkwy Apt 508
Chicago, IL 60614-1072

Phone

(312) 870-0118

NPI assigned

Jun 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Freddy Reyes

Title

Licensed Clinical Professional Cou

Phone

(312) 870-0118

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1023850518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 W DIVERSEY PKWY APT 508",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 W DIVERSEY PKWY APT 508",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141072",
            "telephone_number": "312-870-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFLORESCE THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "FREDDY",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL  COU",
        "authorized_official_telephone_number": "312-870-0118"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haneen Efein, PSYD
• Samer N Effarah, PSY.D.
• Effective Lifestyle Solutions, PLLC
• Effective Path PLLC
• Tobin R Efferen, M.D.
• Efp Eyewear, Inc.
• Efp Opticians on Dearborn, LLC
• Efp Partners, LLC
• Irene Eftekhar, M.D.
• Sahar Eftekhar, D.O

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.