Mandala Counseling Services Llc

LBN: Mandala Counseling Services Llc
Mandala Counseling Services Llc is an health care organization with primary practice located at 8600 Northwest Hwy # 14 , Crystal Lake IL 60012-2706. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Mandala Counseling Services Llc can be contacted via phone (224) 545-1225, or through Gibbons, David Austen via phone (224) 545-1225.

Contact Information

Primary practice address
8600 Northwest Hwy # 14 Crystal Lake IL 60012-2706
Phone: (224) 545-1225
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gibbons, David Austen Master of Arts (MA)
Phone: (224) 545-1225

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1376199356
LBN Legal business name Mandala Counseling Services Llc
DBA Doing business as
Authorized official Gibbons, David Austen Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2019
Last updated Aug 14th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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