Healthcare Provider Details

I. General information

NPI: 1841138997
Provider Name (Legal Business Name): THE WELL BEING COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 S WASHINGTON ST STE 212
NAPERVILLE IL
60540-6789
US

IV. Provider business mailing address

PO BOX 35
BOLINGBROOK IL
60440-1087
US

V. Phone/Fax

Practice location:
  • Phone: 331-333-9074
  • Fax:
Mailing address:
  • Phone: 331-333-9074
  • Fax:

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: LATRINA SMITH
Title or Position: CO OWNER
Credential: LCSW
Phone: 331-333-9074