Provider Demographics
NPI:1407634504
Name:HEAL COUNSELING AND WELLNESS LTD.
Entity Type:Organization
Organization Name:HEAL COUNSELING AND WELLNESS LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FOREMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-313-0069
Mailing Address - Street 1:1509 WAUKEGAN RD STE 1139
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2122
Mailing Address - Country:US
Mailing Address - Phone:708-829-8743
Mailing Address - Fax:
Practice Address - Street 1:6517 W HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-2043
Practice Address - Country:US
Practice Address - Phone:708-829-8743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty