Mind And Movement Therapy PLLC
Counselor, Mental Health in Chicago, IL. Organization (NPI-2).
NPI number1669183166
StatusActive
Last updated in NPPESDec 6, 2022
Details
- NPI
- 1669183166
- Entity type
- Organization (NPI-2)
- Legal business name
- Mind And Movement Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2022
- Certification date
- Dec 6, 2022
- Last updated
- Dec 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3231 S. Halsted St#157
Chicago, IL 60608
Phone 312-725-0540
Mailing address
3231 S. Halsted St#157
Chicago, IL 60608
Phone 312-725-0540
Authorized official
Laura Rae Venditti
Licensed Clinical Professional Coun
3127250540
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