Imago Dei Mental Wellness, LLC
Organization Active NPI Mental Health Counselor · Richton Park, IL
NPI 1619864543 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1619864543
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- IMAGO DEI MENTAL WELLNESS, LLC
- Practice address
- 22561 Pleasant Dr Apt 19
Richton Park, IL 60471-1727 - Phone
- (773) 969-6119
- NPI assigned
- Jun 23, 2025
- Organization subpart
- No
Authorized official
- Name
- Sharon Holmes, LMFT
- Title
- Owner
- Phone
- (773) 969-6119
Practitioners 1
-
Sharon Holmes, LMFT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
22561 Pleasant Dr Apt 19
Richton Park, IL 60471-1727
Mailing address
22561 Pleasant Dr Apt 19
Richton Park, IL 60471-1727
Phone (773) 969-6119
Other providers in Richton Park, IL
- Here and There Transportation
- Sharon Holmes
- Lashonda Howell
- Icg Home Health
- Nwadiutor O Ifezue
- Innerwork Wellness, LLC
- Inspiring Hearts Homecare LLC
- Intuitive Medical
- Jackson Behavioral Health Services LLC
- Addison Jackson Jr.
All providers in Richton Park, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.