Provider Demographics
NPI:1376271908
Name:LEANING INTO LIVING COUNSELING
Entity Type:Organization
Organization Name:LEANING INTO LIVING COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-298-4321
Mailing Address - Street 1:3450 N LAKE SHORE DR APT 3204
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-2863
Mailing Address - Country:US
Mailing Address - Phone:954-298-4321
Mailing Address - Fax:708-575-5752
Practice Address - Street 1:3450 N LAKE SHORE DR APT 3204
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-2863
Practice Address - Country:US
Practice Address - Phone:954-298-4321
Practice Address - Fax:708-575-5752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty