Provider Demographics
NPI:1063905073
Name:NOSHEEN HYDARI THERAPY, INC.
Entity type:Organization
Organization Name:NOSHEEN HYDARI THERAPY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/LMFT
Authorized Official - Prefix:
Authorized Official - First Name:NOSHEEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:HYDARI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:630-965-6674
Mailing Address - Street 1:30 N MICHIGAN AVE STE 1008
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3751
Mailing Address - Country:US
Mailing Address - Phone:630-965-6674
Mailing Address - Fax:
Practice Address - Street 1:30 N MICHIGAN AVE STE 1008
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3751
Practice Address - Country:US
Practice Address - Phone:630-965-6674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty