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Organization
NEW LEAF BEHAVIORAL HEALTH AND RECOVERY LLC
Active
Organization
NEW LEAF BEHAVIORAL HEALTH AND RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VONISHA L BLACK MSN APRN PMHNP-BC (NURSE PRACTITIONER)
(630) 708-0795
Entity
Organization
Contact information
Practice address
1539 E 93RD ST, CHICAGO, IL 60619-8037
(630) 708-0795
Mailing address
1539 E 93RD ST, CHICAGO, IL 60619-8037
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/27/2025
Last updated
02/03/2026
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