Community Wellness Group LLC

NPI #1144820648 in Flossmoor, Illinois

Provider Information

NPI Number: 1144820648
Entity Type: Organization
Organization Name: Community Wellness Group LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 26, 2020
Last Updated: May 4, 2022

Practice Location

Address: 635 ARGYLE AVE
City: Flossmoor
State: Illinois
ZIP Code: 60422-1201
Phone: (773) 844-8813

Authorized Official

Name: DR. SHIRLYN MARIA GARRETT-WILSON, ED.D., LCPC
Title: VICE PRESIDENT OF CLINICAL SERVICES
Phone: (773) 320-9592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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