Organization
BECOMING WELLNESS. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN GRIMES (OWNER)
(815) 383-7461
Entity
Organization
Contact information
Practice address
1711 S NEIL ST STE 2, CHAMPAIGN, IL 61820-7262
(872) 256-8818
Mailing address
2816 N 1100 EAST RD, MANSFIELD, IL 61854-6857
(815) 383-7461
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/18/2025
Last updated
08/20/2025
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