Urban Healing LTD.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149008717 Issued in IL

Legal business name

URBAN HEALING LTD.

Practice address

100 N Walkup Ave
Suite B
Crystal Lake, IL 60014-4383

Phone

(815) 444-0044

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Angela B Dampier, LCSW

Title

Owner/Psychotherapist

Phone

(815) 444-0044

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.

• Angela D Old, LISW-CP

  • Clinical Social Worker
  • Prosperity, SC
  • NPI 1245377621
  NPD

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1295994150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WALKUP AVE",
            "address_2": "SUITE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144383",
            "telephone_number": "815-444-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WALKUP AVE",
            "address_2": "SUITE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144383",
            "telephone_number": "815-444-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN HEALING LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "DAMPIER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "815-444-0044",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149008717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Lynn Vackicev, MA CCC-SLP
• Joy Ann Valko, PSYD
• Lauren Van Valkenburgh
• Valerie Elizabeth Vandello, PT

• Community/Behavioral Health Agency in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.