Nourish Wellness and Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NOURISH WELLNESS AND THERAPY LLC

Practice address

5703 N Newark Ave
Chicago, IL 60631-3140

Phone

(757) 647-0477

NPI assigned

Apr 3, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth StachulskiNPI 1932581568

Title

Owner

Phone

(757) 647-0477

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Stachulski

  • Professional Counselor
  • Chicago, IL
  • NPI 1932581568
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711152000000",
    "number": "1285263178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 N NEWARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 N NEWARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313140",
            "telephone_number": "757-647-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH WELLNESS AND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A",
        "authorized_official_last_name": "STACHULSKI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-647-0477"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mubarak A Nour
• Arian Nouraee, GC
• Joel M Nourie, PT
• Nourish Acuclinic, PLLC
• Nourish Physical Therapy & Wellness
• Nourished Roots Lactation LLC
• Nourished Transitions PLLC
• Nourishing Hope
• Nourishing Hope
• Nourishment Works PC

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.