MIND ALTERING THERAPY & CONSULTING SERVICES LLC
NPI 1669127163
Counselor - Professional in Chicago, IL
About Mind Altering Therapy & Consulting Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIND ALTERING THERAPY & CONSULTING SERVICES LLC (NPI 1669127163) is a healthcare organization registered as a professional in Chicago, Illinois and active in the NPI registry since February 2022. The organization maintains a secondary practice location in Chicago and lists Desonta Tillman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60616
CHICAGO, IL 60616
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 Mind Altering Therapy & Consulting Services LLC's NPI number?
The NPI number for Mind Altering Therapy & Consulting Services LLC is 1669127163. It was assigned to this organization in the NPPES registry on February 14, 2022.
Where is Mind Altering Therapy & Consulting Services LLC located?
Mind Altering Therapy & Consulting Services LLC is located at 2930 S Michigan Ave, Chicago, IL 60616. The listed phone number is (773) 793-4155.
What is Mind Altering Therapy & Consulting Services LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
When was this NPI record last updated?
The NPPES record for Mind Altering Therapy & Consulting Services LLC was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mind Altering Therapy & Consulting Services Llc · NPI 1669127163
Professional organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since February 14, 2022.
## Identity
- **NPI:** 1669127163 (Entity type: Organization)
- **Enumerated:** February 14, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Desonta Tillman, OWNER
## Practice location
- **Address:** 2930 S MICHIGAN AVE, Chicago, IL 60616-3270
- **Phone:** (773) 793-4155
## Record status
- **NPPES last updated:** March 2, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1669127163) · Data from the CMS NPPES public registry.