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

Village & Vine Wellness

Organization Counselor · NPI 1821952110

Village & Vine Wellness is a Counselor in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4

Practice location Address checks out

536 E 95th St
Chicago, IL 60619-7451
Phone: (312) 600-0954
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Counselor Taxonomy 101Y00000X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1821952110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon McCray — Executive Director · (312) 600-0954
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address536 E 95th St, Chicago, IL 60619-7451

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