Nurtured Healing and Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NURTURED HEALING AND WELLNESS LLC

Practice address

800 Roosevelt Rd Ste E200
Glen Ellyn, IL 60137-5866

Phone

(630) 354-0459

NPI assigned

Feb 12, 2024

Last updated

Feb 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Bradley, MA, LCSW, PMH-CNPI 1881037042

Title

Owner and Clinical Therapist

Phone

(630) 354-0459

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Bradley, MA, LCSW, PMH-C

  • Clinical Social Worker
  • Wheaton, IL
  • NPI 1881037042
  NPD Authorized official

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1457115115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE E200",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE E200",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375866",
            "telephone_number": "630-354-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURED HEALING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER AND CLINICAL THERAPIST",
        "authorized_official_telephone_number": "630-354-0459",
        "authorized_official_credential": "MA, LCSW, PMH-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma C. Berman, D. C. P. C.
• Northwestern Medical Faculty Foundation (Northwestern Medical Group)
• Grace E Norton
• Nourish Well Counseling, PLLC
• Stephanie Caballero Novak, LCSW, CRSS
• Nurturing Womanhood Therapy, PLLC
• Daniel Thomas O Carroll, DPM, DABPS
• Margaret O'Connor
• Patricia M O'Donnell, DPM
• Oak and Elm Collective Therapy PLLC

• Community/Behavioral Health Agency in Glen Ellyn, IL
• Providers in Glen Ellyn, 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 Feb 28, 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.