Organization
DAY GLOW WELLNESS PLLC
Active
Parent organization
DAY GLOW WELLNESS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAY GLOW WELLNESS LLC
Authorized official
TINA COOPER LCSW (CLINICAL DIRECTOR)
(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
(312) 898-6721
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/21/2023
Last updated
02/27/2024
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