CHICAGO MENTAL AND LIFE WELLNESS INSTITUTE
NPI 1093423790
Clinic/Center - Adolescent and Children Mental Health in Chicago, IL

Active since November 10, 2022
8547 S STONY ISLAND AVE, CHICAGO, IL 60617(773) 569-0791 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2023, Nov 15, 2022, Nov 10, 2022 (3 updates tracked since 2022).

About Chicago Mental And Life Wellness Institute NPPES

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

CHICAGO MENTAL AND LIFE WELLNESS INSTITUTE (NPI 1093423790) is a healthcare organization registered as an adolescent and children mental health in Chicago, Illinois and active in the NPI registry since November 2022. The organization lists Tanisha Hines, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093423790
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCHICAGO MENTAL AND LIFE WELLNESS INSTITUTE
Location Address8547 S STONY ISLAND AVEChicago, IL 60617-2249
Mailing Address3817 W 85th PlChicago, IL 60652-3709 · (773) 569-0791
Organization SubpartNo
Authorized OfficialTanisha HinesAdministrator · (773) 569-0791
Enumeration DateNovember 10, 2022
Last NPPES UpdateMay 12, 20233 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
NPI 1093423790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
8547 S STONY ISLAND AVE, Chicago, IL 60617

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
8547 S STONY ISLAND AVE
CHICAGO, IL 60617

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 Chicago Mental And Life Wellness Institute's NPI number?

The NPI number for Chicago Mental And Life Wellness Institute is 1093423790. It was assigned to this organization in the NPPES registry on November 10, 2022.

Where is Chicago Mental And Life Wellness Institute located?

Chicago Mental And Life Wellness Institute is located at 8547 S Stony Island Ave, Chicago, IL 60617. The listed phone number is (773) 569-0791.

What is Chicago Mental And Life Wellness Institute's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Chicago Mental And Life Wellness Institute was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.