Mind Body Integrated Therapy, Llc | |
121 N State St Ste 2 Monticello IL 61856-1677 | |
(217) 840-5106 | |
Not Available |
Full Name | Mind Body Integrated Therapy, Llc |
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Speciality | Social Worker |
Location | 121 N State St Ste 2, Monticello, Illinois |
Authorized Official Name and Position | Sara Whalen (OWNER) |
Authorized Official Contact | 2178405106 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mind Body Integrated Therapy, Llc Po Box 542 Monticello IL 61856-0542 Ph: (217) 840-5106 | Mind Body Integrated Therapy, Llc 121 N State St Ste 2 Monticello IL 61856-1677 Ph: (217) 840-5106 |
NPI Number | 1487301891 |
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Provider Enumeration Date | 03/05/2022 |
Last Update Date | 10/28/2022 |
Certification Date | 10/28/2022 |
Identifier | Type | State | Issuer |
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1487301891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
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