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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

NPI Number 1558065300
LBN Legal business name MINDFUL BEHAVIOR LLC
Authorized official ELISA LEE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2023
Last updated 05/16/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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