Provider Demographics
NPI:1528699238
Name:DASH THERAPY & COACHING
Entity type:Organization
Organization Name:DASH THERAPY & COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODCOX BOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:312-779-0730
Mailing Address - Street 1:205 N MICHIGAN AVE STE 1660
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-6022
Mailing Address - Country:US
Mailing Address - Phone:312-779-0730
Mailing Address - Fax:
Practice Address - Street 1:205 N MICHIGAN AVE STE 1660
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-6022
Practice Address - Country:US
Practice Address - Phone:312-779-0730
Practice Address - Fax:773-825-8229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health