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CRYSTAL LAKE WELLNESS, LLC
NPI 1093102550
Community/Behavioral Health in Crystal Lake, IL

Active since April 22, 2015
610 CRYSTAL POINT DR STE 2, CRYSTAL LAKE, IL 60014(815) 893-9839 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Lake Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LAKE WELLNESS, LLC (NPI 1093102550) is a healthcare organization registered as a community/behavioral health in Crystal Lake, Illinois and active in the NPI registry since April 2015. The organization lists Despina Mcbride-spencer, Owner, as its authorized official.

NPPES Registry Identity

NPI1093102550
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCRYSTAL LAKE WELLNESS, LLC
Location Address610 CRYSTAL POINT DR STE 2Crystal Lake, IL 60014-1400
Mailing Address610 Crystal Point Dr Ste 2Crystal Lake, IL 60014-1400
Phone(815) 893-9839
Organization SubpartNo
Authorized OfficialDespina Mcbride-spencerOwner · (815) 893-9839
Enumeration DateApril 22, 2015
✔ NPI 1093102550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
610 CRYSTAL POINT DR STE 2, Crystal Lake, IL 60014
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Lake Wellness, LLC's NPI number?

The NPI number for Crystal Lake Wellness, LLC is 1093102550. It was assigned to this organization in the NPPES registry on April 22, 2015.

Where is Crystal Lake Wellness, LLC located?

Crystal Lake Wellness, LLC is located at 610 Crystal Point Dr Ste 2, Crystal Lake, IL 60014. The listed phone number is (815) 893-9839.

What is Crystal Lake Wellness, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Crystal Lake Wellness, LLC was last updated on April 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.