Mindful Balance Therapy

LBN: Mindful Balance Therapy
Mindful Balance Therapy is an health care organization with primary practice located at 497 N Main St , Glen Ellyn IL 60137-5171. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Mindful Balance Therapy can be contacted via phone (847) 264-0566, or through Kalani, Jennifer Lynn via phone (847) 264-0566.

Contact Information

Primary practice address
497 N Main St Glen Ellyn IL 60137-5171
Phone: (847) 264-0566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kalani, Jennifer Lynn LCPC
Phone: (847) 264-0566

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1063098051
LBN Legal business name Mindful Balance Therapy
DBA Doing business as
Authorized official Kalani, Jennifer Lynn LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2021
Last updated Jun 29th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063098051 NPPES
Illinois Other 180007388 IDFPR

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