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IMAGINE THERAPY MINDFULNESS HEALING PLLC NPI 1669144218


NPI Information

NPI: 1669144218
Provider Name: IMAGINE THERAPY MINDFULNESS HEALING PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
708 W GRAND AVE
CHICAGO, IL
ZIP 60654
Phone: (312) 300-2190
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IMAGINE THERAPY MINDFULNESS HEALING PLLC is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). IMAGINE THERAPY MINDFULNESS HEALING PLLC NPI is 1669144218. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

708 W GRAND AVE
CHICAGO, IL
ZIP 60654
Phone: (312) 300-2190

The provider's authorized official is Chrissa Flannery .
The authorized official title is Manager and has the following contact phone number (708) 337-0642.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 10/1/2021.


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
1101YP2500XCounselorProfessionalNo
2104100000XSocial WorkerNo
3207PH0002XEmergency MedicineHospice and Palliative MedicineNo
4261Q00000XClinic/CenterYes

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

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.