OrganizationActive
360 Talk Therapy Inc
NPI 1942916572 · Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
Provider details
- NPI number
- 1942916572
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Larry Wilkes, Ceo
Mailing address
8556 S Ashland Ave
Chicago, IL 60620-4709
Registry dates
- Enumerated
- 2023-01-26
- Last updated
- 2026-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.