Organization · Type 2 NPI

Fountain Psychotherapy & Consultation, PLLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL

NPI number 1811828569 Active

Practice location

5425 N Normandy Ave
Chicago, IL 60656-2119

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1811828569

Fountain Psychotherapy & Consultation, PLLC's National Provider Identifier is 1811828569, issued on May 28, 2026. 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 May 28, 2026.