Provider Demographics
NPI:1891250890
Name:SANA WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:SANA WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JARRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-660-6706
Mailing Address - Street 1:118 BARRINGTON COMMONS CT STE 220
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-3259
Mailing Address - Country:US
Mailing Address - Phone:847-660-6706
Mailing Address - Fax:
Practice Address - Street 1:118 BARRINGTON COMMONS CT STE 220
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3259
Practice Address - Country:US
Practice Address - Phone:847-660-6706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty