Provider Demographics
NPI:1942924394
Name:ARTWELL THERAPY CENTER L.L.C.
Entity Type:Organization
Organization Name:ARTWELL THERAPY CENTER L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:IRMEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-872-8210
Mailing Address - Street 1:3325 N ARLINGTON HEIGHTS RD STE 400C
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1576
Mailing Address - Country:US
Mailing Address - Phone:312-872-8210
Mailing Address - Fax:
Practice Address - Street 1:3325 N ARLINGTON HEIGHTS RD STE 400C
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1576
Practice Address - Country:US
Practice Address - Phone:847-525-7504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1942924394OtherGROUP NPI
1851752679OtherINDIVIDUAL NPI