MINDS EMPOWERED COUNSELING NPI 1053039198

NPI Information

NPI: 1053039198
Provider Name: MINDS EMPOWERED COUNSELING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
905 175TH ST
HOMEWOOD, IL
ZIP 60430
Phone: (773) 294-8312
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MINDS EMPOWERED COUNSELING is a mental health counselor in Homewood, IL. MINDS EMPOWERED COUNSELING NPI is 1053039198. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

905 175TH ST
HOMEWOOD, IL
ZIP 60430-057
Phone: (773) 294-8312

The provider's authorized official is Kreszentia Snyder .
The authorized official title is President and has the following contact phone number (773) 294-8312.

The enumeration date for this NPI number is 8/15/2022 and was last updated on 8/15/2022.

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	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	180007782	OTHER	ILLINOIS	IDFPR

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: 5/5/2024

NPI Synchronization or Removal

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