Provider Demographics
NPI:1447996590
Name:NEPHESH WELLNESS LLC
Entity type:Organization
Organization Name:NEPHESH WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:S
Authorized Official - Last Name:NELSON-ARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, PHD
Authorized Official - Phone:708-252-3185
Mailing Address - Street 1:18300 S HALSTED ST STE B
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60425-1051
Mailing Address - Country:US
Mailing Address - Phone:708-252-3185
Mailing Address - Fax:
Practice Address - Street 1:700 N. BRUCE LN.
Practice Address - Street 2:UNIT 307
Practice Address - City:GLENWOOD
Practice Address - State:IL
Practice Address - Zip Code:60425
Practice Address - Country:US
Practice Address - Phone:312-259-3166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty