| Embodied Mind Llc | |
|
810 W Downer Pl Aurora IL 60506-4904 | |
| (630) 935-4196 | |
| Not Available |
| Full Name | Embodied Mind Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 810 W Downer Pl, Aurora, Illinois |
| Authorized Official Name and Position | Robert Hickson (OWNER) |
| Authorized Official Contact | 6309354196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Mind Llc 810 W Downer Pl Aurora IL 60506-4904 Ph: (630) 935-4196 | Embodied Mind Llc 810 W Downer Pl Aurora IL 60506-4904 Ph: (630) 935-4196 |
| NPI Number | 1245973338 |
|---|---|
| Provider Enumeration Date | 04/16/2022 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245973338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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