Healthcare Provider Details

I. General information

NPI: 1669383899
Provider Name (Legal Business Name): HUMBLE PSYCHIATRY & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 PARK ST
NAPERVILLE IL
60563-4861
US

IV. Provider business mailing address

1755 PARK ST
NAPERVILLE IL
60563-4861
US

V. Phone/Fax

Practice location:
  • Phone: 773-501-6208
  • Fax:
Mailing address:
  • Phone: 773-501-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HARRIET TURYOUNAH AFFUM
Title or Position: OWNER/MANAGING MEMBER
Credential: MSN,APRN,PMHNP-BC
Phone: 773-501-6208