MEDICARE: HEALING BEYOND MEASURE LLC

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1942944418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING BEYOND MEASURE LLC

Provider Business Mailing Address
First Line	:	8056 S HONORE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-4561
Country	:	US
Telephone Number	:	312-880-9018
Fax Number	:

Provider Business Practice Location Address
First Line	:	8056 S HONORE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-4561
Country	:	US
Telephone Number	:	312-880-9018
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	MS. SABRINA ROWE
Credential	:	LCSW, CADC, ICDVP
Telephone Number	:	312-880-9018

Provider Enumeration Date	:	04/21/2022
Last Update Date	:	04/21/2022

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