Eunoia Wellness Boutique

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EUNOIA WELLNESS BOUTIQUE

Practice address

17901 Governors Hwy Ste 30
Homewood, IL 60430-1145

Phone

(618) 319-5669

NPI assigned

Jul 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Arielle Smith, LCSWNPI 1447928106

Title

Ceo

Phone

(224) 326-0128

Specialties & licenses 2

Addresses

Other names 1

• Eunoia Wellness Boutique, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arielle Elyce Smith, DSW, LCSW

  • Clinical Social Worker
  • Homewood, IL
  • NPI 1447928106
  NPD Authorized official

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1700512159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY STE 30",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301145",
            "telephone_number": "618-319-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY STE 30",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301145",
            "telephone_number": "618-319-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNOIA WELLNESS BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-05-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ARIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-326-0128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eunoia Wellness Boutique, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Social Worker in Homewood, IL
• Providers in Homewood, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.