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ENLIGHTEN MIND BODY WELLNESS LLC
NPI 1114549581
Psychologist - Clinical in Rockford, IL

Active since May 08, 2020
3106 SPRING HARBOUR DR, ROCKFORD, IL 61114(815) 988-8756 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Enlighten Mind Body Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENLIGHTEN MIND BODY WELLNESS LLC (NPI 1114549581) is a healthcare organization registered as a clinical in Rockford, Illinois and active in the NPI registry since May 2020. The organization lists Sherry Falsetti, Owner/clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1114549581
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameENLIGHTEN MIND BODY WELLNESS LLC
Location Address3106 SPRING HARBOUR DRRockford, IL 61114-6605
Mailing Address3106 Spring Harbour DrRockford, IL 61114-6605 · (815) 988-8756
Phone(815) 988-8756
Organization SubpartNo
Authorized OfficialSherry FalsettiOwner/clinical Psychologist · (815) 988-8756
Enumeration DateMay 8, 2020
NPPES CertifiedMay 8, 2020
✔ NPI 1114549581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3106 SPRING HARBOUR DR, Rockford, IL 61114
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enlighten Mind Body Wellness LLC's NPI number?

The NPI number for Enlighten Mind Body Wellness LLC is 1114549581. It was assigned to this organization in the NPPES registry on May 8, 2020.

Where is Enlighten Mind Body Wellness LLC located?

Enlighten Mind Body Wellness LLC is located at 3106 Spring Harbour Dr, Rockford, IL 61114. The listed phone number is (815) 988-8756.

What is Enlighten Mind Body Wellness LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Enlighten Mind Body Wellness LLC was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.