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KEYS TO MINDFUL MENDING NPI 1083150635


NPI Information

NPI: 1083150635
Provider Name: KEYS TO MINDFUL MENDING
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
9113 TRINITY DR
LAKE IN THE HILLS, IL
ZIP 60156
Phone: (815) 527-1952
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KEYS TO MINDFUL MENDING is a professional counselor in Lake In The Hills, IL. KEYS TO MINDFUL MENDING NPI is 1083150635. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9113 TRINITY DR
LAKE IN THE HILLS, IL
ZIP 60156-668
Phone: (815) 527-1952
Fax: (224) 678-7535

The provider's authorized official is Cathleen M Mahony .
The authorized official title is Mental Health Provider and has the following contact phone number (815) 527-1952.

The enumeration date for this NPI number is 1/6/2017 and was last updated on 1/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorILLINOISNo
2101YA0400XCounselorAddiction (Substance Use Disorder)ILLINOISNo
3101YM0800XCounselorMental HealthILLINOISNo
4101YP2500XCounselorProfessionalILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.