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

Conscious Reset Therapy and Wellness, PLLC

Organization Clinical Social Worker · NPI 1609745470

Conscious Reset Therapy and Wellness, PLLC provides Clinical Social Worker services in Chicago, 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

4334 N Clarendon Ave Apt 302
Chicago, IL 60613-1563
Phone: (703) 405-5631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1609745470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vincent Henneburg — Owner · (703) 405-5631
NPI enumeratedOctober 31, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address4334 N Clarendon Ave Apt 302, Chicago, IL 60613-1563

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