Provider Demographics
NPI:1639848567
Name:SPRING ADVISORY PLLC
Entity Type:Organization
Organization Name:SPRING ADVISORY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAN RU
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC ATRBC ATCS
Authorized Official - Phone:609-529-0708
Mailing Address - Street 1:3501 N SOUTHPORT AVE # 300
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1475
Mailing Address - Country:US
Mailing Address - Phone:312-380-1713
Mailing Address - Fax:
Practice Address - Street 1:3501 N SOUTHPORT AVE # 300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-1475
Practice Address - Country:US
Practice Address - Phone:312-380-1713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health