Mindfully Well Pllc

LBN: Mindfully Well Pllc
Mindfully Well Pllc is an health care organization with primary practice located at 2463 Highmoor Rd , Highland Park IL 60035-1705. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Mindfully Well Pllc can be contacted via phone (847) 450-6974, or through Shierk-Booth, Alice via phone (312) 505-9942.

Contact Information

Primary practice address
2463 Highmoor Rd Highland Park IL 60035-1705
Phone: (847) 450-6974
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shierk-Booth, Alice LCPC
Phone: (312) 505-9942

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1538852702
LBN Legal business name Mindfully Well Pllc
DBA Doing business as
Authorized official Shierk-Booth, Alice LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2023
Last updated Jun 1st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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