MEDICARE: GUIDED HEALING 815

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	:	1588522684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDED HEALING 815

Provider Business Mailing Address
First Line	:	3112 BARRINGTON PL
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61107-1904
Country	:	US
Telephone Number	:	815-601-6995
Fax Number	:

Provider Business Practice Location Address
First Line	:	3112 BARRINGTON PL
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61107-1904
Country	:	US
Telephone Number	:	815-601-6995
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAELA SPILLARE
Credential	:	LCSW
Telephone Number	:	815-601-6995

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “GUIDED HEALING 815 ” Practice Location

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