Mimi Landau, INC

NPI #1821545047 in Evanston, Illinois

Provider Information

NPI Number: 1821545047
Entity Type: Organization
Organization Name: Mimi Landau, INC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 6, 2016
Last Updated: Sep 6, 2016

Practice Location

Address: 636 CHURCH ST
Address 2: SUITE 710
City: Evanston
State: Illinois
ZIP Code: 60201-4508
Phone: (773) 860-8114

Authorized Official

Name: MS. MIRIAM CLARE LANDAU, MSW
Title: PRESIDENT
Phone: (773) 860-8114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Pastoral — Pastoral	101YP1600X
Counselor - Professional — Professional	101YP2500X
Psychologist	103T00000X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X
Marriage & Family Therapist	106H00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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