Healthcare Provider Details

I. General information

NPI: 1104775030
Provider Name (Legal Business Name): TRCWELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 W CHICAGO AVE STE 301
CHICAGO IL
60642-5771
US

IV. Provider business mailing address

1105 W CHICAGO AVE STE 301
CHICAGO IL
60642-5771
US

V. Phone/Fax

Practice location:
  • Phone: 312-610-3708
  • Fax:
Mailing address:
  • Phone: 312-610-3708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SHERILYNN ASUOHA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LCPC
Phone: 312-610-3708