MEDICARE: SAFE HARBOR WELLNESS PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1427996982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE HARBOR WELLNESS PLLC

Provider Business Mailing Address
First Line	:	1700 N ALPINE RD STE 301
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61107-1450
Country	:	US
Telephone Number	:	815-979-5398
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 N ALPINE RD STE 301
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61107-1450
Country	:	US
Telephone Number	:	815-979-5398
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAWN ROLANDER
Credential	:	LCSW
Telephone Number	:	815-979-5398

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “SAFE HARBOR WELLNESS PLLC ” Practice Location

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