Organization
CONSCIOUS RESET THERAPY AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT HENNEBURG LCSW (OWNER)
(703) 405-5631
Entity
Organization
Contact information
Practice address
4334 N CLARENDON AVE APT 302, CHICAGO, IL 60613-1563
(703) 405-5631
Mailing address
4334 N CLARENDON AVE APT 302, CHICAGO, IL 60613-1563
(703) 405-5631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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