| Mindful Balance Therapy | |
|
497 N Main St Glen Ellyn IL 60137-5171 | |
| (847) 264-0566 | |
| Not Available |
| Full Name | Mindful Balance Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 497 N Main St, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Jennifer Lynn Kalani (OWNER/PRESIDENT) |
| Authorized Official Contact | 8472640566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Balance Therapy 497 N Main St Glen Ellyn IL 60137-5171 Ph: (847) 264-0566 | Mindful Balance Therapy 497 N Main St Glen Ellyn IL 60137-5171 Ph: (847) 264-0566 |
| NPI Number | 1063098051 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063098051 | NPI | - | NPPES |
| 180007388 | Other | IL | IDFPR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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