Provider Demographics
NPI:1043097710
Name:SIMPLY YOU THERAPY, PLLC
Entity type:Organization
Organization Name:SIMPLY YOU THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DIALA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUGHOSH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:815-320-9813
Mailing Address - Street 1:17542 E QUAIL TRL
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60487-5214
Mailing Address - Country:US
Mailing Address - Phone:815-320-9813
Mailing Address - Fax:
Practice Address - Street 1:17542 EAST QUAIL TRAIL
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60487
Practice Address - Country:US
Practice Address - Phone:815-320-9813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty