Organization
ROOTS OF RENEWAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW WILLIAM SHELTON LCSW (OWNER)
(773) 766-8374
Entity
Organization
Contact information
Practice address
5254 LEE ST, SKOKIE, IL 60077-2166
(773) 766-8374
Mailing address
PO BOX 514, SKOKIE, IL 60076-0514
(773) 766-8374
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
05/22/2025
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