Organization
BLUE PHOENIX WELLNESS & COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIYA BLUE LCSW (MENTAL HEALTH THERAPIST/PRESIDENT)
(224) 250-1228
Entity
Organization
Contact information
Practice address
24586 W OAK ST, ROUND LAKE, IL 60073-1428
(224) 250-1228
Mailing address
24586 W OAK ST, ROUND LAKE, IL 60073-1428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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