CHICAGO MENTAL AND LIFE WELLNESS INSTITUTE NPI 1093423790

NPI Information

  • NPI: 1093423790
  • Provider Name: CHICAGO MENTAL AND LIFE WELLNESS INSTITUTE
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 8547 S STONY ISLAND AVE
    CHICAGO, IL
    ZIP 60617
  • Phone: (773) 569-0791

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NPI Details

CHICAGO MENTAL AND LIFE WELLNESS INSTITUTE is an adolescent and children mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CHICAGO MENTAL AND LIFE WELLNESS INSTITUTE NPI is 1093423790. The provider is registered as an organization entity type.

The provider's business location address is:

8547 S STONY ISLAND AVE
CHICAGO, IL
ZIP 60617-249
Phone: (773) 569-0791

The provider's authorized official is Tanisha Hines .
The authorized official title is Administrator and has the following contact phone number (773) 569-0791.

The enumeration date for this NPI number is 11/10/2022 and was last updated on 5/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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