Essential Lifestyle Therapy &Consulting LLC

Organization Active NPI Clinical Social Worker · Riverdale, IL

NPI 1417675778 · NPPES record last updated Aug 22, 2022

Key facts

NPI
1417675778
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
ESSENTIAL LIFESTYLE THERAPY &CONSULTING LLC
Practice address
14132 S Michigan Ave
Riverdale, IL 60827-2232
Phone
(773) 885-2773
NPI assigned
Aug 22, 2022
Organization subpart
No

Authorized official

Name
Mrs. Danielle Brandy Webb, LSCW
Title
Owner
Phone
(312) 767-8651

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

14132 S Michigan Ave
Riverdale, IL 60827-2232

Mailing address

14132 S Michigan Ave
Riverdale, IL 60827-2232
Phone (773) 885-2773

Other providers in Riverdale, IL

All providers in Riverdale, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.