| Mindworks Mental Health | |
|
328 N. Neil. St, Suit B Champaign IL 61820-3949 | |
| (217) 722-6336 | |
| (217) 354-9107 |
| Full Name | Mindworks Mental Health |
|---|---|
| Speciality | Counselor - Professional |
| Location | 328 N. Neil. St, Suit B, Champaign, Illinois |
| Authorized Official Name and Position | Angela Peregud-aksimentyeva (CLINICAL THERAPIST) |
| Authorized Official Contact | 2177213263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindworks Mental Health 3303 S Pine Cir Urbana IL 61802-7130 Ph: (217) 721-3263 | Mindworks Mental Health 328 N. Neil. St, Suit B Champaign IL 61820-3949 Ph: (217) 722-6336 |
| NPI Number | 1992379234 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 07/31/2021 |
| Certification Date | 07/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992379234 | NPI | - | NPPES |
| 33602 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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