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

Roots of Renewal Therapy PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1548065840

Roots of Renewal Therapy PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Skokie, 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

5254 Lee St
Skokie, IL 60077-2166
Phone: (773) 766-8374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1548065840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Shelton — Owner · (773) 766-8374
NPI enumeratedFebruary 19, 2025
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing addressPo Box 514, Skokie, IL 60076-0514

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