Your Family Wellness Village PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

YOUR FAMILY WELLNESS VILLAGE PLLC

Practice address

800 Roosevelt Rd Ste E220
Glen Ellyn, IL 60137-5868

Phone

(630) 478-0707

Fax

(630) 381-0905

NPI assigned

Jul 4, 2019

Organization subpart

No

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

Authorized official

Name

Myriam Leclerc Sanchez, LCPC

Title

Owner

Phone

(630) 478-0707

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1952963472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE E220",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375868",
            "telephone_number": "630-478-0707",
            "fax_number": "630-381-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE E220",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375868",
            "telephone_number": "630-478-0707",
            "fax_number": "630-381-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY WELLNESS VILLAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-04",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_middle_name": "LECLERC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-478-0707",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth York, CCC-SLP
• Nora J Yoshimura
• Kimberly Joy Yost, LCPC
• Young Men'S Christian Association of Northwestern Du Page County
• Erik Sean Youngstedt, LCPC
• Sharon Yu, PHARMD
• Sherri Wynn Zack, P.T.
• John T. Zaffer, D.D.S.
• David Walter Zaremba, D.D.S.
• Dimple Zaveri, RPH

• Professional Counselor in Glen Ellyn, IL
• Providers in Glen Ellyn, 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 15, 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.