Healthcare Provider Details

I. General information

NPI: 1730060161
Provider Name (Legal Business Name): ABUNDANT PEARL COUNSELING & HEALING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4003 PLAINFIELD NAPERVILLE RD STE 203
NAPERVILLE IL
60564-4150
US

IV. Provider business mailing address

4003 PLAINFIELD NAPERVILLE RD STE 203
NAPERVILLE IL
60564-4150
US

V. Phone/Fax

Practice location:
  • Phone: 630-689-3567
  • Fax:
Mailing address:
  • Phone: 630-780-4517
  • 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: MARJORIE COLINDRES THULIN
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 630-689-3567