Elysian Mental Health

NPI #1124845235 in Evanston, Illinois

Provider Information

NPI Number: 1124845235
Entity Type: Organization
Organization Name: Elysian Mental Health
Primary Specialty: Psychologist - Clinical
Enumeration Date: Sep 21, 2024
Last Updated: Nov 18, 2024

Practice Location

Address: 708 CHURCH ST STE 223
City: Evanston
State: Illinois
ZIP Code: 60201-3881
Phone: (989) 326-5621

Authorized Official

Name: CASSIDY R BUCKELEW
Title: PSYCHOLOGIST, OWNER
Phone: (708) 292-8373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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