MEDICARE: RETURNING 2 WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	1041S0200X	School Social Worker
4	106H00000X	Marriage & Family Therapist
5	106S00000X	Behavior Technician
6	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1306771829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETURNING 2 WELLNESS, LLC

Provider Business Mailing Address
First Line	:	18242 ASHLAND AVE
Second Line	:
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-2305
Country	:	US
Telephone Number	:	623-759-1716
Fax Number	:

Provider Business Practice Location Address
First Line	:	18242 ASHLAND AVE
Second Line	:
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-2305
Country	:	US
Telephone Number	:	623-759-1716
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. SIDNEY JOHNSON
Credential	:	JOHNSON
Telephone Number	:	623-759-1716

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “RETURNING 2 WELLNESS, LLC ” Practice Location

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