FOREVERMORE MIND BODY & SOUL
NPI 1346025285
Clinic/Center in Joliet, IL

Active since August 29, 2023
411 N BLUFF ST APT 11, JOLIET, IL 60435(815) 766-5999 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2025, Nov 12, 2025, Nov 8, 2025 and 1 more (4 updates tracked since 2023).

About Forevermore Mind Body & Soul NPPES

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

FOREVERMORE MIND BODY & SOUL (NPI 1346025285), doing business as Forevermore Healthcare, is a healthcare organization registered as a clinic/center in Joliet, Illinois and active in the NPI registry since August 2023. The organization lists Demitrius Brackett, Mental Health Provider, as its authorized official.

NPPES Registry Identity

NPI1346025285
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFOREVERMORE MIND BODY & SOUL
Location Address411 N BLUFF ST APT 11Joliet, IL 60435-7295
Mailing Address411 N Bluff St Apt 11Joliet, IL 60435-7295 · (815) 766-5999
Organization SubpartNo
Authorized OfficialDemitrius BrackettMental Health Provider · (815) 766-5999
Enumeration DateAugust 29, 2023
Last NPPES UpdateDecember 3, 20254 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
NPI 1346025285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
Also ListedMealsTaxonomy 174200000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · PainTaxonomy 261QP3300X
Also ListedClinic/Center · ResearchTaxonomy 261QR1100X
411 N BLUFF ST APT 11, Joliet, IL 60435

Other Names 1

Doing Business AsForevermore Healthcare

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Cognitive & Behavioral)
411 N BLUFF ST APT 11
JOLIET, IL 60435

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 Forevermore Mind Body & Soul's NPI number?

The NPI number for Forevermore Mind Body & Soul is 1346025285. It was assigned to this organization in the NPPES registry on August 29, 2023. The provider is doing business as Forevermore Healthcare.

Where is Forevermore Mind Body & Soul located?

Forevermore Mind Body & Soul is located at 411 N Bluff St Apt 11, Joliet, IL 60435. The listed phone number is (815) 766-5999.

What is Forevermore Mind Body & Soul's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Forevermore Mind Body & Soul was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.