WILDLIGHT THERAPY
NPI 1396434734
Counselor - Professional in Chicago, IL

Active since May 02, 2023
5547 N RAVENSWOOD AVE STE 407, CHICAGO, IL 60640(908) 358-5802 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wildlight Therapy NPPES

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

WILDLIGHT THERAPY (NPI 1396434734) is a healthcare organization registered as a professional in Chicago, Illinois and active in the NPI registry since May 2023. The organization lists Adriana Brodyn, Owner, as its authorized official.

NPPES Registry Identity

NPI1396434734
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameWILDLIGHT THERAPY
Location Address5547 N RAVENSWOOD AVE STE 407Chicago, IL 60640-1125
Mailing Address4240 N Clarendon Ave Apt 403nChicago, IL 60613-1537
Organization SubpartNo
Authorized OfficialAdriana BrodynOwner · (908) 358-5802
Enumeration DateMay 2, 2023
NPPES CertifiedMay 2, 2023
NPI 1396434734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
5547 N RAVENSWOOD AVE STE 407, Chicago, IL 60640

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

Other Providers at the Same Location NPPES 4

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

Counselor
5547 N RAVENSWOOD AVE STE 407
CHICAGO, IL 60640
Counselor (Mental Health)
5547 N RAVENSWOOD AVE STE 407
CHICAGO, IL 60640
Counselor (Mental Health)
5547 N RAVENSWOOD AVE STE 407
CHICAGO, IL 60640
Counselor (Mental Health)
5547 N RAVENSWOOD AVE STE 407
CHICAGO, IL 60640

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 Wildlight Therapy's NPI number?

The NPI number for Wildlight Therapy is 1396434734. It was assigned to this organization in the NPPES registry on May 2, 2023.

Where is Wildlight Therapy located?

Wildlight Therapy is located at 5547 N Ravenswood Ave Ste 407, Chicago, IL 60640. The listed phone number is (908) 358-5802.

What is Wildlight Therapy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Wildlight Therapy was last updated on May 2, 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.