Kenabu Wellness Pllc
LBN: Kenabu Wellness Pllc
Kenabu Wellness Pllc is an health care organization with primary practice located at 816 E 63Rd St , Chicago IL 60637-3518. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Kenabu Wellness Pllc can be contacted via phone (312) 612-0264, or through Butts, Kenya via phone (312) 612-0264.
Contact Information
Primary practice address
816 E 63Rd St
Chicago IL 60637-3518
Phone: (312) 612-0264
Fax:
Website:
Authorized official contact:
Name: Butts, Kenya Licensed Clinical Social Worker (LCSW)
Phone: (312) 612-0264
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1750046108 |
|---|---|
| LBN Legal business name | Kenabu Wellness Pllc |
| DBA Doing business as | |
| Authorized official | Butts, Kenya Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2021 |
| Last updated | Nov 1st, 2021 - about 4 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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