OrganizationActive
Chicago Wellness and Support LLC
NPI 1215764873 · Adolescent and Children Mental Health Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1215764873
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Blake Walker, Owner(480) 619-0949
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
2833 E 79th St
Chicago, IL 60649-5213
Phone: (773) 873-7335
Approximate (ZIP-level) locationGet directions
Mailing address
16211 N Scottsdale Rd Ste A6a267
Scottsdale, AZ 85254-1584
Registry dates
- Enumerated
- 2024-09-17
- Last updated
- 2024-09-24
- Certified
- 2024-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.