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

Imago Dei Mental Wellness, LLC

Organization Mental Health Counselor · NPI 1619864543

Imago Dei Mental Wellness, LLC is a Mental Health Counselor in Richton Park, Illinois. Registered with an NPI since 2025.

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

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Practice location Address checks out

22561 Pleasant Dr Apt 19
Richton Park, IL 60471-1727
Phone: (773) 969-6119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1619864543
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Holmes — Owner · (773) 969-6119
NPI enumeratedJune 23, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address22561 Pleasant Dr Apt 19, Richton Park, IL 60471-1727

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