ANCHORED IN WELLNESS CHICAGO LLC NPI 1336733153

NPI Information

NPI: 1336733153
Provider Name: ANCHORED IN WELLNESS CHICAGO LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4807 S ASHLAND AVE APT 203
CHICAGO, IL
ZIP 60609
Phone: (773) 430-9253
Get Directions

ANCHORED IN WELLNESS CHICAGO LLC is a mental health (including community mental health center) clinic center in Chicago, IL. ANCHORED IN WELLNESS CHICAGO LLC NPI is 1336733153. The provider is registered as an organization entity type.

The provider's business location address is:

4807 S ASHLAND AVE APT 203
CHICAGO, IL
ZIP 60609-242
Phone: (773) 430-9253

The provider's authorized official is Antonio J. Wheeler .
The authorized official title is Founder and has the following contact phone number (773) 430-9253.

The enumeration date for this NPI number is 2/22/2021 and was last updated on 2/22/2021.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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: 11/14/2023

NPI Synchronization or Removal

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