| Mindful Path Therapy Pllc | |
|
1803 E Wistoria Ct Mount Prospect IL 60056-1829 | |
| (224) 423-9396 | |
| Not Available |
| Full Name | Mindful Path Therapy Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1803 E Wistoria Ct, Mount Prospect, Illinois |
| Authorized Official Name and Position | Judith Lucas Lahlum (OWNER/MANAGER) |
| Authorized Official Contact | 8474710647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Path Therapy Pllc 1803 E Wistoria Ct Mount Prospect IL 60056-1829 Ph: (224) 423-9396 | Mindful Path Therapy Pllc 1803 E Wistoria Ct Mount Prospect IL 60056-1829 Ph: (224) 423-9396 |
| NPI Number | 1639815939 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/10/2022 |
| Certification Date | 05/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639815939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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