Provider Demographics
NPI:1982147096
Name:THERAPY AND WELLNESS INC.
Entity type:Organization
Organization Name:THERAPY AND WELLNESS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CPT, RYT
Authorized Official - Phone:608-347-9597
Mailing Address - Street 1:1020 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-2705
Mailing Address - Country:US
Mailing Address - Phone:608-347-9597
Mailing Address - Fax:
Practice Address - Street 1:5756 N RIDGE AVE STE 11
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-5333
Practice Address - Country:US
Practice Address - Phone:608-347-9597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-21
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty