Organization
DAY GLOW WELLNESS LLC
Active
Other names
Day Glow Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
TINA COOPER LCSW, CADC (CEO)
(708) 299-2526
Entity
Organization
Contact information
Practice address
954 W WASHINGTON BLVD STE 510, CHICAGO, IL 60607-2237
(312) 898-6721
Mailing address
954 W WASHINGTON BLVD STE 510, CHICAGO, IL 60607-2237
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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