Organization · Type 2 NPI
Roots of Renewal Therapy PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Skokie, IL
NPI number
1548065840
Active
Practice location
5254 Lee St
Skokie, IL 60077-2166
Mailing address
PO Box 514
Skokie, IL 60076-0514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1548065840
Roots of Renewal Therapy PLLC's National Provider Identifier is 1548065840, issued on Feb 19, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Skokie, IL. The record was last updated on May 22, 2025.