Anchored In Wellness Chicago LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Chicago, IL. Organization (NPI-2).
NPI number1336733153
StatusActive
Last updated in NPPESFeb 22, 2021
Details
- NPI
- 1336733153
- Entity type
- Organization (NPI-2)
- Legal business name
- Anchored In Wellness Chicago LLC
- Organization subpart
- No
- Enumeration date
- Feb 22, 2021
- Certification date
- Feb 22, 2021
- Last updated
- Feb 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Anchored In Wellness Chicago LLC (Former Legal Business Name)
Practice location
4807 S Ashland Ave Apt 203Chicago, IL 60609-4242
Phone 773-430-9253
Mailing address
1440 W Taylor St # 767Chicago, IL 60607-4623
Phone 773-430-9253
Authorized official
Antonio J. Wheeler
Founder
7734309253
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