| Minds Matter Behavioral Health And Consultation Services Llc | |
|
1170 E Riverside Ave Decatur IL 62521-3566 | |
| (217) 387-3625 | |
| Not Available |
| Full Name | Minds Matter Behavioral Health And Consultation Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1170 E Riverside Ave, Decatur, Illinois |
| Authorized Official Name and Position | Nicole Ekiss (OWNER) |
| Authorized Official Contact | 2173873625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minds Matter Behavioral Health And Consultation Services Llc 1615 Ridgewood Ct Mount Zion IL 62549-1136 Ph: (217) 853-4410 | Minds Matter Behavioral Health And Consultation Services Llc 1170 E Riverside Ave Decatur IL 62521-3566 Ph: (217) 387-3625 |
| NPI Number | 1821695875 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 10/02/2020 |
| Certification Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821695875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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