Organization · Type 2 NPI

Imago Dei Mental Wellness, LLC

Mental Health Counselor · Richton Park, IL

NPI number 1619864543 Active

Practice location

22561 Pleasant Dr Apt 19
Richton Park, IL 60471-1727

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619864543

Imago Dei Mental Wellness, LLC's National Provider Identifier is 1619864543, issued on Jun 23, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richton Park, IL. The record was last updated on Aug 7, 2025.