| Mind Over Matter Behavioral Services Llc | |
|
304 N Douglas St Saint Jacob IL 62281-1539 | |
| (636) 221-7686 | |
| Not Available |
| Full Name | Mind Over Matter Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 304 N Douglas St, Saint Jacob, Illinois |
| Authorized Official Name and Position | Alexander J Smith (OWNER & CEO) |
| Authorized Official Contact | 6362217686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Over Matter Behavioral Services Llc 304 N Douglas St Saint Jacob IL 62281-1539 Ph: (636) 221-7686 | Mind Over Matter Behavioral Services Llc 304 N Douglas St Saint Jacob IL 62281-1539 Ph: (636) 221-7686 |
| NPI Number | 1487395968 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/12/2022 |
| Certification Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487395968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
With You Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 David Dr, Saint Jacob, IL 62281 Phone: 730-236-9256 |