| Mind Lodge | |
|
24014 W Renwick Rd Ste 105-5 Plainfield IL 60544-8708 | |
| (815) 200-1099 | |
| Not Available |
| Full Name | Mind Lodge |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 24014 W Renwick Rd Ste 105-5, Plainfield, Illinois |
| Authorized Official Name and Position | Angela Olson (PRACTICE OWNER) |
| Authorized Official Contact | 8152001099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Lodge 13855 S Petersburg Dr Plainfield IL 60544-7078 Ph: (815) 200-1099 | Mind Lodge 24014 W Renwick Rd Ste 105-5 Plainfield IL 60544-8708 Ph: (815) 200-1099 |
| NPI Number | 1639933732 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639933732 | NPI | - | NPPES |
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