Mindful Growth Psychological Services Llc | |
336 Cumberland Ln Village Of Lakewood IL 60014-5508 | |
(847) 220-8261 | |
Not Available |
Full Name | Mindful Growth Psychological Services Llc |
---|---|
Speciality | Psychologist |
Location | 336 Cumberland Ln, Village Of Lakewood, Illinois |
Authorized Official Name and Position | Kelsey Wodka (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8472208261 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mindful Growth Psychological Services Llc 336 Cumberland Ln Village Of Lakewood IL 60014-5508 Ph: (847) 651-2336 | Mindful Growth Psychological Services Llc 336 Cumberland Ln Village Of Lakewood IL 60014-5508 Ph: (847) 220-8261 |
NPI Number | 1649935974 |
---|---|
Provider Enumeration Date | 11/02/2021 |
Last Update Date | 11/02/2021 |
Certification Date | 11/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649935974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |