Provider Demographics
NPI:1760276729
Name:INNER JOURNEY COUNSELING AND WELLNESS
Entity type:Organization
Organization Name:INNER JOURNEY COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:YADGIR
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-853-7040
Mailing Address - Street 1:5928 ROSS DR
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1128
Mailing Address - Country:US
Mailing Address - Phone:630-853-7040
Mailing Address - Fax:
Practice Address - Street 1:947 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-4985
Practice Address - Country:US
Practice Address - Phone:630-474-4978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)