Logan Health & Healing Center, Inc

Organization Active NPI Clinical Social Worker · Cherry Valley, IL

NPI 1184090847 · NPPES record last updated Jul 20, 2022

Key facts

NPI
1184090847
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
LOGAN HEALTH & HEALING CENTER, INC
Practice address
1740 S Bell School Rd Ste B
Cherry Valley, IL 61016-9388
Phone
(815) 316-2621
Fax
(800) 493-9260
NPI assigned
Aug 18, 2015
Organization subpart
No

Authorized official

Name
Julie Ann Logan, LCSW
Title
Owner/Practitioner
Phone
(815) 316-2621

National Provider Directory

Locations

5844 Elaine Dr
Ste B
Rockford, IL 61108
Phone (815) 316-2621

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

1740 S Bell School Rd Ste B
Cherry Valley, IL 61016-9388

Mailing address

1740 S Bell School Rd Ste B
Cherry Valley, IL 61016-9388
Phone (815) 316-2621

Other identifiers

IdentifierTypeStateIssuer
1184090847OtherILLOGAN HEALTH AND HEALING CENTER INC

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jlogan@loganhh.com Direct

Other providers in Cherry Valley, IL

All providers in Cherry Valley, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.