Crystal Lake Wellness, Llc

LBN: Crystal Lake Wellness, Llc
Crystal Lake Wellness, Llc is an health care organization with primary practice located at 610 Crystal Point Dr Ste 2 , Crystal Lake IL 60014-1400. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Crystal Lake Wellness, Llc can be contacted via phone (815) 893-9839, or through Mcbride-Spencer, Despina via phone (815) 893-9839.

Contact Information

Primary practice address
610 Crystal Point Dr Ste 2 Crystal Lake IL 60014-1400
Phone: (815) 893-9839
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcbride-Spencer, Despina LCPC
Phone: (815) 893-9839

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1093102550
LBN Legal business name Crystal Lake Wellness, Llc
DBA Doing business as
Authorized official Mcbride-Spencer, Despina LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2015
Last updated Apr 22nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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