Healthcare Provider Details

I. General information

NPI: 1831062744
Provider Name (Legal Business Name): INDIGO BUTTERFLY COUNSELING AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 ELMWOOD DR
KANKAKEE IL
60901-5909
US

IV. Provider business mailing address

2 ELMWOOD DR
KANKAKEE IL
60901-5909
US

V. Phone/Fax

Practice location:
  • Phone: 708-268-3177
  • Fax: 708-268-3177
Mailing address:
  • Phone: 708-268-3177
  • Fax: 708-268-3177

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. DANA LEONA PALERMO
Title or Position: OWNER/LCPC
Credential: LCPC
Phone: 708-268-3177