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Contact Information

MINDS IN BLOOM
2156 W 21ST PL APT 1
CHICAGO, IL60608-4010
 Phone: 312-847-4678
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MINDS IN BLOOM

NPI Number 1922878875
LBN Legal business name MINDS IN BLOOM
Authorized official JENNIFER SPITLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2024
Last updated 01/02/2024 - 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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