Healthcare Provider Details

I. General information

NPI: 1689539207
Provider Name (Legal Business Name): THE COUNSELING & WELLNESS COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3044 POLLY LN
FLOSSMOOR IL
60422-1721
US

IV. Provider business mailing address

3044 POLLY LN
FLOSSMOOR IL
60422-1721
US

V. Phone/Fax

Practice location:
  • Phone: 708-969-0296
  • Fax:
Mailing address:
  • Phone: 708-969-0296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. MEGHANN M BARNES
Title or Position: LICENSED CLINICAL PROFESSIONAL COUN
Credential: LCPC, NCC
Phone: 708-969-0296