Community Wellness Group Llc

LBN: Community Wellness Group Llc
Community Wellness Group Llc is an health care organization with primary practice located at 635 Argyle Ave , Flossmoor IL 60422-1201. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Community Wellness Group Llc can be contacted via phone (773) 844-8813, or through Garrett-Wilson, Shirlyn Maria via phone (773) 320-9592.

Contact Information

Primary practice address
635 Argyle Ave Flossmoor IL 60422-1201
Phone: (773) 844-8813
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garrett-Wilson, Shirlyn Maria ED.D., LCPC
Phone: (773) 320-9592

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1144820648
LBN Legal business name Community Wellness Group Llc
DBA Doing business as
Authorized official Garrett-Wilson, Shirlyn Maria ED.D., LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2020
Last updated May 4th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144820648 NPPES
Illinois MEDICAID 19002

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