Healthcare Provider Details
I. General information
NPI: 1023962727
Provider Name (Legal Business Name): MENTAL WELLBEING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2026
Last Update Date: 02/21/2026
Certification Date: 02/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1439 VIOLA LN
VOLO IL
60073-5925
US
IV. Provider business mailing address
1439 VIOLA LN
VOLO IL
60073-5925
US
V. Phone/Fax
- Phone: 847-497-0292
- Fax:
- Phone: 847-497-0292
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOSHUA
RUSSELL
CAREY
Title or Position: OWNER
Credential: LCSW
Phone: 847-497-0877