Healthcare Provider Details

I. General information

NPI: 1144014747
Provider Name (Legal Business Name): CULTIVATING CONNECTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 WHEELING AVE
WHEELING IL
60090-3137
US

IV. Provider business mailing address

33 WHEELING AVE
WHEELING IL
60090-3137
US

V. Phone/Fax

Practice location:
  • Phone: 847-436-6691
  • Fax:
Mailing address:
  • Phone: 847-436-6691
  • 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: CAMILLA PHILIPPE
Title or Position: FOUNDER
Credential: LCSW
Phone: 847-436-6691