Provider Demographics
NPI:1063194959
Name:JORDAN FERRANTO PSYCHOTHERAPY SERVICES
Entity type:Organization
Organization Name:JORDAN FERRANTO PSYCHOTHERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST & FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRANTO
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:708-292-8563
Mailing Address - Street 1:932 S LEAVITT ST APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4212
Mailing Address - Country:US
Mailing Address - Phone:708-292-8563
Mailing Address - Fax:
Practice Address - Street 1:932 S LEAVITT ST APT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4212
Practice Address - Country:US
Practice Address - Phone:708-292-8563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty