Gulf Coast Psych Therapy Group is a Counselor Clinic in Evanston, Illinois. It is located at 828 Davis St Ste 213, Evanston, IL and its contact number is 312-781-2850. The authorized person for Gulf Coast Psych Therapy Group is Dr. Terry Dornak
who is Owner of the clinic and his/her contact number is 312-781-2850. The primary license number for Gulf Coast Psych Therapy Group is 071009088 (Clinical) in Illinois.
Gulf Coast Psych Therapy Group Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Gulf Coast Psych Therapy Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Gulf Coast Psych Therapy Group |
| Specialization: | Mental Health Counselor |
| Clinic Address: | 828 Davis St Ste 213, Evanston,
Illinois, 60201-4420 |
| Phone: | 312-781-2850 |
| Fax: | 847-972-6445 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Terry Dornak |
| Position: | Owner |
| Contact Number: | 312-781-2850 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Gulf Coast Psych Therapy Group clinic are as mentioned below.
| NPI Number: | 1184165383 |
| NPI Enumeration Date: | 20 Mar, 2017 |
| NPI Last Update On: | 15 May, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gulf Coast Psych Therapy Group are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinical | 071009088 | Illinois | Primary | |
| Mental Health | | | Secondary | |
| Clinical | | | Secondary | |
| Clinical | | | Secondary | |
| Massage Therapist | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Gulf Coast Psych Therapy Group
828 Davis St Ste 213,
Evanston, Illinois |
| Zip: | 60201-4420 |
| Phone Number: | 312-781-2850 |
| Fax Number: | 847-972-6445 |
Patients can reach Gulf Coast Psych Therapy Group at
828 Davis St Ste 213, Evanston, Illinois or can
call to book an appointment on 312-781-2850.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.