| Mind Gut Therapy Center Pllc | |
|
1114 S Waiola Ave La Grange IL 60525-6627 | |
| (312) 576-5083 | |
| Not Available |
| Full Name | Mind Gut Therapy Center Pllc |
|---|---|
| Speciality | Psychologist - Health |
| Location | 1114 S Waiola Ave, La Grange, Illinois |
| Authorized Official Name and Position | Sarah Kinsinger (PSYCHOLOGIST) |
| Authorized Official Contact | 3125765083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Gut Therapy Center Pllc 2501 Chatham Rd Ste N Springfield IL 62704-4188 Ph: () - | Mind Gut Therapy Center Pllc 1114 S Waiola Ave La Grange IL 60525-6627 Ph: (312) 576-5083 |
| NPI Number | 1316511090 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316511090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Primary |
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