| Minds Empowered Counseling Services Llc | |
|
905 175th St Homewood IL 60430-2057 | |
| (312) 388-1505 | |
| Not Available |
| Full Name | Minds Empowered Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 905 175th St, Homewood, Illinois |
| Authorized Official Name and Position | Elaine Smith (OWNER/THERAPIST) |
| Authorized Official Contact | 3123881505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minds Empowered Counseling Services Llc 905 175th St Homewood IL 60430-2057 Ph: (312) 388-1505 | Minds Empowered Counseling Services Llc 905 175th St Homewood IL 60430-2057 Ph: (312) 388-1505 |
| NPI Number | 1164098380 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164098380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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