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Organization

HIGHER GROUND WELLNESS GROUP LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FELICIA M OWENS PSY.D (PRESIDENT)
(773) 317-2056
Entity
Organization

Contact information

Practice address
1053 LAKE ST STE 3, OAK PARK, IL 60301-1144
(773) 317-2056
Mailing address
1053 LAKE ST STE 3, OAK PARK, IL 60301-1144
(773) 317-2056

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
04/06/2020
Last updated
12/17/2024
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