Provider Demographics
NPI:1003612409
Name:DISTINCTIVE VOICE THERAPY & WELLNESS PLLC
Entity type:Organization
Organization Name:DISTINCTIVE VOICE THERAPY & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, NCC
Authorized Official - Phone:312-439-4517
Mailing Address - Street 1:2045 W GRAND AVE
Mailing Address - Street 2:STE B #103302
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612
Mailing Address - Country:US
Mailing Address - Phone:312-439-4517
Mailing Address - Fax:312-277-6754
Practice Address - Street 1:1262 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-3325
Practice Address - Country:US
Practice Address - Phone:312-439-4517
Practice Address - Fax:312-277-6754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty