Provider Demographics
NPI:1376364026
Name:ANANDA HOLISTIC HEALING LLC
Entity type:Organization
Organization Name:ANANDA HOLISTIC HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHRUTHI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-664-1602
Mailing Address - Street 1:5011 PRAIRIE SAGE LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-4326
Mailing Address - Country:US
Mailing Address - Phone:630-664-1602
Mailing Address - Fax:
Practice Address - Street 1:5011 PRAIRIE SAGE LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-4326
Practice Address - Country:US
Practice Address - Phone:630-664-1602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health