Create Your Story

NPI #1477306470 in Markham, Illinois

Provider Information

NPI Number: 1477306470
Entity Type: Organization
Organization Name: Create Your Story
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 9, 2024
Last Updated: Apr 9, 2024

Practice Location

Address: 3438 ROESNER DR
City: Markham
State: Illinois
ZIP Code: 60428-2728
Phone: (708) 691-9424

Authorized Official

Name: NGOZI HARRIS, LCPC
Title: OWNER
Phone: (708) 691-9424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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