| Mindful Mindset Wellness Center, Pllc | |
|
1717 N Naper Blvd Ste 200 Naperville IL 60563-8838 | |
| (708) 480-2048 | |
| Not Available |
| Full Name | Mindful Mindset Wellness Center, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1717 N Naper Blvd Ste 200, Naperville, Illinois |
| Authorized Official Name and Position | Nader Joudeh (LICENSED CLINICAL PROFESSIONAL COUN) |
| Authorized Official Contact | 7084802048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Mindset Wellness Center, Pllc 1717 N Naper Blvd Ste 200 Naperville IL 60563-8838 Ph: (708) 480-2048 | Mindful Mindset Wellness Center, Pllc 1717 N Naper Blvd Ste 200 Naperville IL 60563-8838 Ph: (708) 480-2048 |
| NPI Number | 1780291575 |
|---|---|
| Provider Enumeration Date | 09/26/2020 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 4789037037 |
|---|---|
| Medicare Enrollment ID | O20240202000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780291575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Heba Ibrahim-joudeh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497157275 PECOS PAC ID: 9133572498 Enrollment ID: I20240202000937 |
| Provider Name | Nader F Joudeh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639633373 PECOS PAC ID: 1951754217 Enrollment ID: I20240223003580 |
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