Theraviv Wellness PLLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Germantown Hills, IL
NPI 1679201784 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1679201784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- THERAVIV WELLNESS PLLC
- Practice address
- 402 Somerset Dr
Germantown Hills, IL 61548-8329 - Phone
- (847) 861-0602
- NPI assigned
- Aug 9, 2022
- Organization subpart
- No
Authorized official
- Name
- Amanda Walner-Cutright, LCSW, PMH-C
- Title
- Owner/Therapist
- Phone
- (847) 861-0602
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
402 Somerset Dr
Germantown Hills, IL 61548-8329
Mailing address
402 Somerset Dr
Germantown Hills, IL 61548-8329
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Embarkemr.com |
Other providers in Germantown Hills, IL
- Restoration Counseling PLLC
- Lauren N Stein
- Madison Elaine Stewart
- Stronger Every Day-Soul Mind and Body, LLC
- Ryan Michael Taylor
All providers in Germantown Hills, IL · Mental Health Clinic/Center (Including Community Mental Health Center) 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 9, 2022. 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.