Healthcare Provider Details

I. General information

NPI: 1861122517
Provider Name (Legal Business Name): ADJ COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N WABASH AVE STE 100 THE GARLAND BUILDING #3393
CHICAGO IL
60602
US

IV. Provider business mailing address

1317 W 98TH PL
CHICAGO IL
60643-1441
US

V. Phone/Fax

Practice location:
  • Phone: 773-217-0808
  • Fax:
Mailing address:
  • Phone: 773-798-2976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: AMBER JOHNSON
Title or Position: OWNER
Credential: MSW, LCSW
Phone: 773-798-2976