| Mind Stance Inc | |
|
5443 N Broadway St Fl 2 Chicago IL 60640-1703 | |
| (773) 980-6505 | |
| (872) 231-0066 |
| Full Name | Mind Stance Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5443 N Broadway St Fl 2, Chicago, Illinois |
| Authorized Official Name and Position | Judith L Weirauch (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7739806505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Stance Inc 6423 N Greenview Ave Apt 3w Chicago IL 60626-6182 Ph: (303) 525-6697 | Mind Stance Inc 5443 N Broadway St Fl 2 Chicago IL 60640-1703 Ph: (773) 980-6505 |
| NPI Number | 1972152940 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 03/25/2020 |
| Certification Date | 03/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972152940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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