Provider Demographics
NPI:1326508763
Name:BESHERS PSYCHOTHERAPY SERVICES, LTD
Entity type:Organization
Organization Name:BESHERS PSYCHOTHERAPY SERVICES, LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAXWELL
Authorized Official - Middle Name:N
Authorized Official - Last Name:BESHERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:217-390-4754
Mailing Address - Street 1:3701 N RAVENSWOOD AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-3878
Mailing Address - Country:US
Mailing Address - Phone:217-390-4754
Mailing Address - Fax:
Practice Address - Street 1:3701 N RAVENSWOOD AVE STE 303
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3878
Practice Address - Country:US
Practice Address - Phone:217-390-4754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty