Provider Demographics
NPI:1841070893
Name:FAMILY ADULT CHILD THERAPY SERVICES FACTS PLLC
Entity type:Organization
Organization Name:FAMILY ADULT CHILD THERAPY SERVICES FACTS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DELLIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ADESANYA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:312-835-7039
Mailing Address - Street 1:125 S WACKER DR STE 300
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-4421
Mailing Address - Country:US
Mailing Address - Phone:312-835-7039
Mailing Address - Fax:469-421-8594
Practice Address - Street 1:125 S WACKER DR STE 300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-4421
Practice Address - Country:US
Practice Address - Phone:312-835-7039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health