Provider Demographics
NPI:1528656626
Name:SAHYOUNI PSYCHOTHERAPY, LLC
Entity type:Organization
Organization Name:SAHYOUNI PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHYOUNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-306-9082
Mailing Address - Street 1:383 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-4369
Mailing Address - Country:US
Mailing Address - Phone:847-529-8293
Mailing Address - Fax:
Practice Address - Street 1:383 RIDGE RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-4369
Practice Address - Country:US
Practice Address - Phone:847-529-8293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1609333962OtherINDIVIDUAL NPI