Organization
THRIVING SPARROW COUNSELING & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROCHON LCSW, RPT-S (OWNER)
(815) 529-5933
Entity
Organization
Contact information
Practice address
256 STONEGATE RD, TROUT VALLEY, IL 60013-2524
(815) 529-5933
Mailing address
256 STONEGATE RD, TROUT VALLEY, IL 60013-2524
(815) 529-5933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324781059001
—
IL
Enumeration date
07/14/2021
Last updated
10/05/2023
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