Provider Demographics
NPI:1891383386
Name:SYNERGY HEALING SERVICES, LLC
Entity Type:Organization
Organization Name:SYNERGY HEALING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENAE
Authorized Official - Middle Name:D
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCPC, LPC
Authorized Official - Phone:708-801-8735
Mailing Address - Street 1:332 S. MICHIGAN AVENUE #5847
Mailing Address - Street 2:SUITE 121
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-4302
Mailing Address - Country:US
Mailing Address - Phone:708-801-8735
Mailing Address - Fax:855-703-0001
Practice Address - Street 1:332 S. MICHIGAN AVENUE #5847
Practice Address - Street 2:SUITE 121
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-4302
Practice Address - Country:US
Practice Address - Phone:708-801-8735
Practice Address - Fax:855-703-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-09
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)