Organization
GROUNDS FOR HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMEKA L. WATSON LCSW (OWNER/CEO)
(773) 726-7505
Entity
Organization
Contact information
Practice address
11457 S CHURCH ST, CHICAGO, IL 60643-4235
(773) 726-7505
Mailing address
1805 W MONTEREY AVE UNIT 43070, CHICAGO, IL 60643-4234
(773) 726-7505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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