Organization · Type 2 NPI
Samantha Dallas Lcpc, PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
NPI number
1760246201
Active
Practice location
20 N Clark St Ste 1103
Chicago, IL 60602-4190
Mailing address
218 N Jefferson St Ste 200
Chicago, IL 60661-1115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1760246201
Samantha Dallas Lcpc, PLLC's National Provider Identifier is 1760246201, issued on Feb 6, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on Nov 8, 2024.