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Contact Information

MINDFUL BEHAVIOR LLC
6815 W 63RD ST
CHICAGO, IL60638-4048
 Phone: 708-304-3010
 Fax: 708-535-5333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MINDFUL BEHAVIOR LLC · (Female)

NPI # 1558065300
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2023
Last updated 05/16/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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