RAW WELLNESS LLC
NPI 1104645027
Counselor - Mental Health in Chicago, IL
Active since October 08, 2024
About Raw Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAW WELLNESS LLC (NPI 1104645027) is a healthcare organization registered as a mental health in Chicago, Illinois and active in the NPI registry since October 2024. The organization lists Rebecca Welles, Owner, as its authorized official.
NPPES Registry Identity
NPI1104645027
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameRAW WELLNESS LLC
Location Address4855 W WINNEMAC AVEChicago, IL 60630-2432
Mailing Address4855 W Winnemac AveChicago, IL 60630-2432 · (773) 931-6006
Phone(773) 931-6006
Organization SubpartNo
Authorized OfficialRebecca WellesOwner · (773) 931-6006
Enumeration DateOctober 8, 2024
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1104645027 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4855 W WINNEMAC AVE, Chicago, IL 60630
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104645027, enumerated as an "organization" on October 08, 2024.
The provider is located at 4855 W WINNEMAC AVE CHICAGO, IL 60630 and the phone number is (773) 931-6006.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
