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Organization
SPRINGS OF HEALING LLC
Active
Organization
SPRINGS OF HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OGHENERO OLOMUKORO (OWNER)
(618) 978-0739
Entity
Organization
Contact information
Practice address
4104 N PARK DR, BELLEVILLE, IL 62226-5312
(732) 523-4057
Mailing address
4104 N PARK DR, BELLEVILLE, IL 62226-5312
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
10/20/2025
Last updated
09/15/2026
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