Provider Demographics
NPI:1659961654
Name:KARUNA WELLNESS LLC
Entity Type:Organization
Organization Name:KARUNA WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCSW
Authorized Official - Prefix:
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCSW
Authorized Official - Phone:419-343-3374
Mailing Address - Street 1:2027 N HUMBOLDT BLVD APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-3851
Mailing Address - Country:US
Mailing Address - Phone:419-343-3374
Mailing Address - Fax:708-575-1725
Practice Address - Street 1:8695 ARCHER AVE STE 21
Practice Address - Street 2:
Practice Address - City:WILLOW SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60480-1283
Practice Address - Country:US
Practice Address - Phone:708-381-0897
Practice Address - Fax:708-575-1725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty