Provider Demographics
NPI:1023879699
Name:STEFF DU BOIS PSYCHOTHERAPY, LLC
Entity type:Organization
Organization Name:STEFF DU BOIS PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:DU BOIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-678-1608
Mailing Address - Street 1:5320 N SHERIDAN RD APT 1702
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-7345
Mailing Address - Country:US
Mailing Address - Phone:312-567-6468
Mailing Address - Fax:
Practice Address - Street 1:5320 N SHERIDAN RD APT 1702
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-7345
Practice Address - Country:US
Practice Address - Phone:312-567-6468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health