Provider Demographics
NPI:1780398271
Name:ABBY EVE PSYCHOTHERAPY, PLLC
Entity type:Organization
Organization Name:ABBY EVE PSYCHOTHERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNJER
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-767-1453
Mailing Address - Street 1:230 E. OHIO STREET SUITE 410
Mailing Address - Street 2:#1106
Mailing Address - City:CHICAGOHTTPS://NPPES.CMS.HHS.GOV/
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3564
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:512 W BELDEN AVE APT 3C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3564
Practice Address - Country:US
Practice Address - Phone:847-767-1453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty