| Mindful Transitions, Llc | |
|
10413 Brookridge Creek Dr Frankfort IL 60423-8089 | |
| (123) 974-5528 | |
| Not Available |
| Full Name | Mindful Transitions, Llc |
|---|---|
| Speciality | Counselor |
| Location | 10413 Brookridge Creek Dr, Frankfort, Illinois |
| Authorized Official Name and Position | Kerry Marie Hampton (LCPC) |
| Authorized Official Contact | 2397455285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Transitions, Llc 10413 Brookridge Creek Dr Frankfort IL 60423-8089 Ph: (123) 974-5528 | Mindful Transitions, Llc 10413 Brookridge Creek Dr Frankfort IL 60423-8089 Ph: (123) 974-5528 |
| NPI Number | 1467227876 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 11/16/2023 |
| Certification Date | 11/16/2023 |
| Medicare PECOS PAC ID | 4688012412 |
|---|---|
| Medicare Enrollment ID | O20240329001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467227876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kerry M Hampton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194309740 PECOS PAC ID: 7113365958 Enrollment ID: I20240329001410 |
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