Provider Demographics
NPI:1346848785
Name:WELLNESS HEARTED THERAPY LLC
Entity Type:Organization
Organization Name:WELLNESS HEARTED THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RABIJE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJDINI
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:224-489-4618
Mailing Address - Street 1:2675 S CEDAR GLEN DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-5303
Mailing Address - Country:US
Mailing Address - Phone:224-489-4618
Mailing Address - Fax:
Practice Address - Street 1:2675 S CEDAR GLEN DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-5303
Practice Address - Country:US
Practice Address - Phone:224-489-4618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)