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

Grundy Eunoia Wellness Center Nfp

Organization Clinical Social Worker · NPI 1861239790

Grundy Eunoia Wellness Center Nfp is a Clinical Social Worker in Mazon, Illinois. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5

Practice location Address checks out

606 Depot St
Mazon, IL 60444-3703
Phone: (815) 513-3654
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatry Physician Taxonomy 2084P0800X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1861239790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Parker — Billing Administrator · (815) 513-3654
NPI enumeratedJuly 9, 2024
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing addressPo Box 74, Mazon, IL 60444-0074