| Center For The Healing Mind Pllc | |
|
6653 Weaver Rd Ste 105 Rockford IL 61114-8052 | |
| (815) 988-2524 | |
| Not Available |
| Full Name | Center For The Healing Mind Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6653 Weaver Rd Ste 105, Rockford, Illinois |
| Authorized Official Name and Position | Karin K Leden (OWNER) |
| Authorized Official Contact | 8157427516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For The Healing Mind Pllc 208 Renrose Ave Loves Park IL 61111-4046 Ph: (815) 742-7516 | Center For The Healing Mind Pllc 6653 Weaver Rd Ste 105 Rockford IL 61114-8052 Ph: (815) 988-2524 |
| NPI Number | 1942771548 |
|---|---|
| Provider Enumeration Date | 12/09/2018 |
| Last Update Date | 01/23/2019 |
| Medicare PECOS PAC ID | 5395082499 |
|---|---|
| Medicare Enrollment ID | O20190128002723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942771548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Karin K Leden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740635218 PECOS PAC ID: 8921345026 Enrollment ID: I20190128002808 |
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