| Mindful Momentum Counseling Pllc | |
|
132 W Lake St Ofc 4 Bloomingdale IL 60108-1020 | |
| (847) 773-1684 | |
| Not Available |
| Full Name | Mindful Momentum Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 132 W Lake St Ofc 4, Bloomingdale, Illinois |
| Authorized Official Name and Position | Joseph Rubin (OWNER) |
| Authorized Official Contact | 8477731684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Momentum Counseling Pllc 435 W Shady Lane Rd Palatine IL 60074-1066 Ph: (847) 773-1684 | Mindful Momentum Counseling Pllc 132 W Lake St Ofc 4 Bloomingdale IL 60108-1020 Ph: (847) 773-1684 |
| NPI Number | 1366116477 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Medicare PECOS PAC ID | 5890185995 |
|---|---|
| Medicare Enrollment ID | O20211203001930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366116477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Margaret Mckenzie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720429913 PECOS PAC ID: 2668606633 Enrollment ID: I20131004000446 |
| Provider Name | Joseph Rubin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811481070 PECOS PAC ID: 7517357619 Enrollment ID: I20240209002640 |
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