Provider Demographics
NPI:1508641929
Name:LAUREL PAFFHOUSE, PLLC
Entity Type:Organization
Organization Name:LAUREL PAFFHOUSE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:PAFFHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:773-914-3474
Mailing Address - Street 1:1020 W ARDMORE AVE APT 1M
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-3715
Mailing Address - Country:US
Mailing Address - Phone:773-914-3474
Mailing Address - Fax:
Practice Address - Street 1:1020 W ARDMORE AVE APT 1M
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-3715
Practice Address - Country:US
Practice Address - Phone:773-914-3474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty