Organization
ELEMENTS THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA WHITING LCSW (OWNER)
(630) 408-7372
Entity
Organization
Contact information
Practice address
601 SHANNON DR, CHESTERTON, IN 46304-3158
(630) 408-7372
Mailing address
601 SHANNON DR, CHESTERTON, IN 46304-3158
(630) 408-7372
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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