Provider Demographics
NPI:1659805851
Name:EVANSTON RELATIONAL PSYCHOTHERAPY PLLC
Entity Type:Organization
Organization Name:EVANSTON RELATIONAL PSYCHOTHERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-425-1500
Mailing Address - Street 1:800 CUSTER AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-2282
Mailing Address - Country:US
Mailing Address - Phone:847-425-1500
Mailing Address - Fax:847-425-1500
Practice Address - Street 1:800 CUSTER AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-2282
Practice Address - Country:US
Practice Address - Phone:847-425-1500
Practice Address - Fax:847-425-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 1041C0700X
IL1490075331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty