Healthcare Provider Details

I. General information

NPI: 1003726639
Provider Name (Legal Business Name): A PLACE TO LAND THERAPY AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3017 COTTONWOOD LN
RIVER GROVE IL
60171-0020
US

IV. Provider business mailing address

217 SUMMIT AVE SUITE 1 PMB 1044
JERSEY CITY NJ
07304-3109
US

V. Phone/Fax

Practice location:
  • Phone: 850-792-7953
  • Fax:
Mailing address:
  • Phone: 850-792-7953
  • 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: LAURIE PARSONS
Title or Position: MANAGER
Credential: LCSW
Phone: 850-792-7953