Provider Demographics
NPI:1922642362
Name:ERIN WHEELER LLC
Entity Type:Organization
Organization Name:ERIN WHEELER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:MUNDY
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-340-9771
Mailing Address - Street 1:4832 N BELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-1908
Mailing Address - Country:US
Mailing Address - Phone:773-340-9771
Mailing Address - Fax:
Practice Address - Street 1:4832 N BELL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-1908
Practice Address - Country:US
Practice Address - Phone:773-340-9771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty