Embolden Therapy

NPI #1003778317 in Chicago, Illinois

Provider Information

NPI Number: 1003778317
Entity Type: Organization
Organization Name: Embolden Therapy
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 25, 2025
Last Updated: Nov 25, 2025

Practice Location

Address: 811 W 15TH PL UNIT 503
City: Chicago
State: Illinois
ZIP Code: 60608-1641
Phone: (773) 217-9371

Authorized Official

Name: EMILY DEAVER, LCPC
Title: CLINICAL PROFESSIONAL COUNSELOR
Phone: (773) 217-9371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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