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

Inner Man Holistic Services LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1588422133

Inner Man Holistic Services LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lansing, Illinois. Registered with an NPI since 2024.

In the registry since
2024
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

17601 Wentworth Ave
Lansing, IL 60438-2074
Phone: (708) 397-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1588422133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gia Davis — Coo · (708) 397-6200
NPI enumeratedMarch 8, 2024
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024
Mailing address1965 Bernice Rd Ste 1sw, Lansing, IL 60438-6032

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