| Mindful Behavior Llc | |
|
6815 W 63rd St Chicago IL 60638-4048 | |
| (708) 304-3010 | |
| (708) 575-5333 |
| Full Name | Mindful Behavior Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6815 W 63rd St, Chicago, Illinois |
| Authorized Official Name and Position | Elisa Julia Lee (CEO/OWNER) |
| Authorized Official Contact | 7082029151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Behavior Llc Po Box 388556 Chicago IL 60638-8556 Ph: (708) 304-3010 | Mindful Behavior Llc 6815 W 63rd St Chicago IL 60638-4048 Ph: (708) 304-3010 |
| NPI Number | 1780407189 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780407189 | NPI | - | NPPES |
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