| Mindful Soul Therapy Llc | |
|
902 Ridge Square Elk Grove Village IL 60007 | |
| (224) 558-3261 | |
| Not Available |
| Full Name | Mindful Soul Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 902 Ridge Square, Elk Grove Village, Illinois |
| Authorized Official Name and Position | Lesley Glenn (THERAPIST) |
| Authorized Official Contact | 2245583261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Soul Therapy Llc 422 S Main St Unit 2059 Lombard IL 60148-2600 Ph: (224) 558-3261 | Mindful Soul Therapy Llc 902 Ridge Square Elk Grove Village IL 60007 Ph: (224) 558-3261 |
| NPI Number | 1184458598 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184458598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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