Xaia Bodymind Wellness Suite, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

XAIA BODYMIND WELLNESS SUITE, LLC

Practice address

3525 W Peterson Ave Ste 607
Chicago, IL 60659-3318

Phone

(773) 531-8513

NPI assigned

Aug 3, 2016

Organization subpart

No

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

Authorized official

Name

Francine Kelley, LCPC

Title

Owner

Phone

(773) 531-8513

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1508310830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 N CHRISTIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254710",
            "telephone_number": "773-531-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W PETERSON AVE STE 607",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593318",
            "telephone_number": "773-531-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XAIA BODYMIND WELLNESS SUITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-531-8513",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 3, 2016; 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.