CENTER FOR MIND-BODY HEALTH, INC.
NPI 1639651235
Clinic/Center - Mental Health (Including Community Mental Health Center) in Frankfort, IL
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About CENTER FOR MIND-BODY HEALTH, INC.
This page provides the complete NPI Profile along with additional information for Center For Mind-body Health, Inc., a provider established in Frankfort, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1639651235 assigned on August 2018. The practitioner's primary taxonomy code is 261QM0801X with license number 071009501 (IL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Jennafer Ann Bruchauser Sarna Psy.d. (Licensed Clinical Psychologist)
- NPI
- 1639651235 Verify this NPI
- Provider Name
- CENTER FOR MIND-BODY HEALTH, INC.
- Entity Type
- Organization
- Location Address
- 20855 S LA GRANGE RD STE 100 FRANKFORT, IL 60423
- Location Phone
- (815) 401-9355
- Location Fax
- (815) 422-3055
- Mailing Address
- 20855 S LA GRANGE RD STE 100 FRANKFORT, IL 60423
- Mailing Phone
- (815) 401-9355
- Mailing Fax
- (815) 422-3055
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-30-2018
- Last Update Date
- 08-30-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 071009501
- License State
- IL
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639651235, enumerated as an "organization" on August 30, 2018.
The provider is located at 20855 S LA GRANGE RD STE 100 FRANKFORT, IL 60423 and the phone number is (815) 401-9355.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).