Thriving Sparrow Counseling & Wellness, Pllc

LBN: Thriving Sparrow Counseling & Wellness, Pllc
Thriving Sparrow Counseling & Wellness, Pllc is an health care organization with primary practice located at 256 Stonegate Rd , Trout Valley IL 60013-2524. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Thriving Sparrow Counseling & Wellness, Pllc can be contacted via phone (815) 529-5933, or through Rochon, Jennifer via phone (815) 529-5933.

Contact Information

Primary practice address
256 Stonegate Rd Trout Valley IL 60013-2524
Phone: (815) 529-5933
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rochon, Jennifer LCSW, RPT-S
Phone: (815) 529-5933

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1619549052
LBN Legal business name Thriving Sparrow Counseling & Wellness, Pllc
DBA Doing business as
Authorized official Rochon, Jennifer LCSW, RPT-S
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2021
Last updated Oct 5th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619549052 NPPES
Illinois MEDICAID 324781059001

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