MIND ALTERING THERAPY & CONSULTING SERVICES LLC
NPI 1669127163
Counselor - Professional in Chicago, IL
- Organization
- Counselor
- Professional
About MIND ALTERING THERAPY & CONSULTING SERVICES LLC
This page provides the complete NPI Profile along with additional information for Mind Altering Therapy & Consulting Services Llc, a provider established in Chicago, Illinois operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1669127163 assigned on February 2022. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Desonta Tillman Lcpc (Owner)
- NPI
- 1669127163 Verify this NPI
- Provider Name
- MIND ALTERING THERAPY & CONSULTING SERVICES LLC
- Entity Type
- Organization
- Location Address
- 2930 S MICHIGAN AVE CHICAGO, IL 60616
- Location Phone
- (773) 793-4155
- Mailing Address
- 1233 E 70TH ST CHICAGO, IL 60637
- Mailing Phone
- (773) 793-4155
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-14-2022
- Last Update Date
- 03-02-2022
- Code Navigator
Location Map
Secondary Locations
- 1233 E 70th St
Chicago, IL 60637
(773) 793-4155
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
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
CHICAGO, IL 60616
CHICAGO, IL 60616
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669127163, enumerated as an "organization" on February 14, 2022.
The provider is located at 2930 S MICHIGAN AVE CHICAGO, IL 60616 and the phone number is (773) 793-4155.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
