Provider Demographics
NPI:1831979178
Name:REACHING EMPOWERMENT, AWARENESS AND LEARNING SOLUTIONS, PLLC
Entity type:Organization
Organization Name:REACHING EMPOWERMENT, AWARENESS AND LEARNING SOLUTIONS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELYSE
Authorized Official - Middle Name:L
Authorized Official - Last Name:FELDMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-789-8934
Mailing Address - Street 1:843 W CASTLEWOOD TER
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-4216
Mailing Address - Country:US
Mailing Address - Phone:773-392-6267
Mailing Address - Fax:
Practice Address - Street 1:401 N MICHIGAN AVE STE 1200
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4264
Practice Address - Country:US
Practice Address - Phone:773-789-8934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty