Melanated Wellness, Nfp

NPI #1235725482 in Waukegan, Illinois

Provider Information

NPI Number: 1235725482
Entity Type: Organization
Organization Name: Melanated Wellness, Nfp
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 11, 2020
Last Updated: Dec 11, 2020

Practice Location

Address: 1370 S WHITE OAK DR APT 121
City: Waukegan
State: Illinois
ZIP Code: 60085-8345
Phone: (773) 677-6824

Authorized Official

Name: MRS. HEATHER ANDREA PERKINS, LCSW
Title: CEO
Phone: (773) 677-6824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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