MIND BODY CENTER NPI 1346877412

NPI Information

NPI: 1346877412
Provider Name: MIND BODY CENTER
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2551 N CLARK ST STE 301
CHICAGO, IL
ZIP 60614
Phone: (978) 697-5301
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MIND BODY CENTER is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MIND BODY CENTER NPI is 1346877412. The provider is registered as an organization entity type.

The provider's business location address is:

2551 N CLARK ST STE 301
CHICAGO, IL
ZIP 60614-732
Phone: (978) 697-5301

The provider's authorized official is Melissa Ann St Jean .
The authorized official title is Owner and has the following contact phone number (978) 697-5301.

The enumeration date for this NPI number is 3/26/2020 and was last updated on 3/26/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

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: 11/14/2023

NPI Synchronization or Removal

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