Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Conscious Reset Therapy and Wellness, PLLC

Organization Clinical Social Worker · NPI 1609745470

Conscious Reset Therapy and Wellness, PLLC is a Clinical Social Worker in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4334 N Clarendon Ave Apt 302
Chicago, IL 60613-1563
Phone: (703) 405-5631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1609745470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vincent Henneburg — Owner · (703) 405-5631
NPI enumeratedOctober 31, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address4334 N Clarendon Ave Apt 302, Chicago, IL 60613-1563

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