Whalio Doctors

NPI 1205595477

Acacia Roots Counseling LLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Riverside, IL

Practice location

Address
84 E Burlington St Unit 2, Riverside, IL 60546-2118
Phone
(708) 232-3550

Authorised official

Name
Anna Christina Cornejo
Title
Social Worker
Phone
(708) 232-3550

Registered specialties (5)

Mental Health Clinic/Center (Including Community Mental Health Center) Primary
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Case Management Agency
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI
1205595477
Entity type
Organization
NPI issued
14 Dec 2021
Record last updated
12 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.