National Provider Identifier Database

ACACIA ROOTS COUNSELING LLC
Mental Health (Including Community Mental Health Center)


Contact Information

ACACIA ROOTS COUNSELING LLC
84 E BURLINGTON ST UNIT 2
RIVERSIDE, IL60546-2118
Phone: 708-232-3550
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health 261QM0855X
Adult Mental Health 261QM0850X
Case Management 251B00000X
Community/Behavioral Health 251S00000X

* Indicates primary specialty

NPI Profile & details for ACACIA ROOTS COUNSELING LLC

NPI Number 1205595477
Legal business name
LBN
ACACIA ROOTS COUNSELING LLC
Authorized official ANNA CORNEJO - (SOCIAL WORKER)
Entity Organization
Organization subpart No
Enumeration date 12/14/2021
Last updated 01/12/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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