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Organization
ROOTS OF RENEWAL THERAPY PLLC
Active
Organization
ROOTS OF RENEWAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW WILLIAM SHELTON LCSW (OWNER)
(773) 766-8374
Entity
Organization
Contact information
Practice address
5254 LEE ST, SKOKIE, IL 60077-2166
(773) 766-8374
Mailing address
PO BOX 514, SKOKIE, IL 60076-0514
(773) 766-8374
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
05/22/2025
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