Healthcare Provider Details

I. General information

NPI: 1740143965
Provider Name (Legal Business Name): MENTAL CLARITY & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516 SILVER ROCK DR
CREST HILL IL
60403-8906
US

IV. Provider business mailing address

2516 SILVER ROCK DR
CREST HILL IL
60403-8906
US

V. Phone/Fax

Practice location:
  • Phone: 630-528-1427
  • Fax: 630-953-5571
Mailing address:
  • Phone: 630-528-1427
  • Fax: 630-953-5571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. GHANA AKUA DORSEY
Title or Position: PMHNP-BC, FNP-BC, FPA
Credential: DNP
Phone: 630-528-1427