Provider Demographics
NPI:1780400242
Name:HUPOMENO PSYCHOTHERAPY INTEGRATED LLC
Entity type:Organization
Organization Name:HUPOMENO PSYCHOTHERAPY INTEGRATED LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:MIDDLETON
Authorized Official - Last Name:LINNEAR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-788-4585
Mailing Address - Street 1:1534 HARVEY AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-1411
Mailing Address - Country:US
Mailing Address - Phone:630-788-4585
Mailing Address - Fax:630-929-7570
Practice Address - Street 1:1534 HARVEY AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-1411
Practice Address - Country:US
Practice Address - Phone:630-788-4585
Practice Address - Fax:630-929-7570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health